# Erythromelanosis Follicularis Faciei: A Case Report of a Localized Variant

## TL;DR

A rare skin condition called erythromelanosis follicularis faciei is reported in an eight-year-old boy with persistent facial patches.

## Contribution

This case report describes a localized variant of EFF in a child, expanding the clinical understanding of the condition.

## Key findings

- The patient had persistent erythematous brownish patches and follicular papules localized to the periauricular regions.
- The condition was unresponsive to topical steroids and anti-acne treatments.
- No systemic or familial abnormalities were found in the patient.

## Abstract

Erythromelanosis follicularis faciei (EFF) is a rare disease, typically seen in late childhood and young adulthood, characterized by symmetrical bilateral hyperpigmented patches and follicular papules on erythematous bases. We present an eight-year-old boy with a three-year history of persistent, asymptomatic erythematous brownish patches and tiny follicular papules localized to the periauricular regions. The lesions worsened in hot climates and were unresponsive to topical steroids and anti-acne treatments. Examination of the hair, nails, and mucous membranes was normal. There was no relevant family history or consanguinity between the parents. The systemic review was unremarkable.