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By Kirkland Lau, DO, and Stephen M. Schleicher, MD
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CASE:
A 24-year-old woman presents with firm, flesh-colored papules in the periorbital region bilaterally. She reports that they have been increasing in number for five years. The lesions are asymptomatic, but treatment is requested for cosmetic purposes. She denies any history of systemic disease and her serum triglyceride level is normal. The patient states that an aunt has a similar condition.
WHAT IS YOUR DIAGNOSIS? |
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The proper diagnosis is syringoma, benign tumors of the intraepidermal eccrine sweat duct. The papules are typically 1 to 5 mm, firm, and flesh-colored. They usually appear on the eyelids or, less often, the forehead, cheeks, chest, abdomen, or vulva. The condition is more common in women and may develop at any age, but it is most frequently seen during or after puberty. These lesions were successfully treated with electrodesiccation. |
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Dr. Lau is an associate with a division of DermDx Centers for Dermatology in Sinking Spring, Pennsylvania. Dr. Schleicher is director of DermDx Centers and a clinical instructor of dermatology at the Philadelphia College of Osteopathic Medicine, at Kings College in Wilkes-Barre, Pennsylvania, and at Arcadia University in Glenside, Pennsylvania. He is also a member of the EMERGENCY MEDICINE editorial board.
Emerg Med 39(10):51-2, 2007
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