Eruptive syringoma - A great mimicker: An uncommon presentation in males

Abstract

Syringomas are common benign neoplasms of the eccrine glands. It, usually, affects adult females with its usual presentation; small smooth skin-colored or yellowish papules with flattened or rounded tops on the face, especially in the periorbital area particularly around the lower eyelid. Eruptive syringoma, a distinctive form of syringoma presents as successive crops of numerous, disseminated papules appearing in atypical sites. There are a few reports of its widespread distribution as eruptive syringoma in the literature. Herein, we report an uncommon presentation in a teenage boy aged 20 years presenting with multiple asymptomatic, skin-colored papules predominantly over the trunk clinically mimicking numerous conditions presenting similarly. Histopathology showed multiple ducts and solid nest or cords of epithelial proliferation within the dermis, embedded in fibrous stroma. Some ducts had comma-like extensions or tadpole-like appearance confirming a diagnosis of eruptive syringomas.