Acral syringoma

Abstract

Although syringoma is a relatively common adnexal tumor, syringoma of the hands has not been reported previously. We report a unique case of multiple acral syringomas that appeared as symmetrical grouped erythematous papules limited to the dorsum of the proximal and middle phalanges of both hands in a young man. This condition should be considered in the diagnosis of papular lesions of the hands.

Coexistence of Acral Syringomas and Multiple Trichoepitheliomas on the Face

“…12 Unusual forms of localized syringoma include a unilateral nevoid pattern, vulvar and penile syringomas, scalp syringomas associated with alopecia, and acral syringomas. 1,2,4,,,,,–10,13,14 In the literature, an acral syringoma was first described as an eruption localized to the dorsal aspect of the phalanges. 6,7 van den Broek and Lundquist reported multiple syringomas on the dorsal aspects of the wrists and distal forearms in a 52-year-old man.…”

“…1,2,4,,,,,–10,13,14 In the literature, an acral syringoma was first described as an eruption localized to the dorsal aspect of the phalanges. 6,7 van den Broek and Lundquist reported multiple syringomas on the dorsal aspects of the wrists and distal forearms in a 52-year-old man. 10 Patrizi and colleagues described two patients with lesions localized to the forearms.…”

“…These cases tend to be an isolated eruption on the upper extremities or in association with an eruption around the eyelids or on the feet. 4,,,,,–10…”

“…In a review of the literature, we found eight reported cases of acral syringomas. 4,,,,,–10 Syringomatous changes of the eccrine sweat ducts may be associated with inflammatory dermatoses, medications, and neoplastic conditions. 11…”