Picture of Syringomas
Syringomas are benign adenomas of the eccrine ducts. They are 1- to 2-mm, skin-colored or yellow, firm papules that occur mostly in women, beginning at puberty; they may be familial. The lesions, most often multiple rather than solitary, occur most frequently around the eyelids and on the face, axillae, umbilicus, upper chest, and vulva. The lesions have a specific histologic pattern: many small ducts in the dermis with comma-like tails with the appearance of “tadpoles.” The lesions can be disfiguring, and most patients want them removed; this can be done easily with electrosurgery. This figure shows symmetric eruption of 1-2 mm skin-colored, smooth papules on the upper and lower eylids.