Abstract Vulvar syringomas are rare. A review of English literature showed only four reported cases of syringoma limited to the vulva.1,2 In all these cases, the patients had multiple papular lesions involving both sides of the vulva. The lesion should therefore be considered in the differential diagnosis of multicentric papular lesions of the vulva. Report of a Case A 20-year-old healthy woman was seen at the Gynecologic Clinic of Grady Memorial Hospital for a routine checkup. Genital examination showed numerous, skin-colored papular lesions symmetrically involving both labia majora (Fig 1). An occasional lesion was yellowish. The patient had been aware of these lesions for the last four years. Occasionally, one of them got "infected," but otherwise they were completely asymptomatic. No added inconvenience was experienced during menstruation or warmer climate. Examination of the rest of the body did not show such lesions to be present anywhere else. No other member References 1. Brown SM, Freeman RG: Syringoma limited to the vulva . Arch Dermatol 104:331, 1971.Crossref 2. Carneiro SJC, Gardner HL, Knox JM: Syringoma: Three cases with vulvar involvement . Obstet Gynecol 39:95-99, 1972. 3. Hashimoto K, Gross BG, Lever WF: Syringoma: Histochemical and electron microscopy studies . J Invest Dermatol 46:150-166, 1966. 4. Rook A, Wilkinson DS, Ebling TJG: Text-book of Dermatology . Philadelphia, FA Davis Co, 1968, pp 1690-1691. 5. Woringer F, Eichler A: Constatation et reflexion au sujet d'un cas d'hidradenome eruptif . Ann Dermatol Syphiligr 78:152, 1951. 6. Zalla JA, Perry HO: An unusual case of syringoma . Arch Dermatol 103:215-217, 1971.Crossref 7. Goldstein AI, Kent DR: All vulvar lesions should be biopsied: Basal cell carcinoma: An example of the futility of diagnosis by gross appearance . Am J Obstet Gynecol 121:173-174, 1975. 8. Hashimoto K, DiBella RL, Borsuk GM, et al: Eruptive hidradenoma and syringoma . Arch Dermatol 96:500-519, 1967.Crossref
Archives of Dermatology – American Medical Association
Published: Jan 1, 1979
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