BACKGROUND: An extremely rare variant of syringoma is an acral form, which affects the upper extremities as an isolated finding. The acral syringomas may also be associated with syringomas on the feet or usual distribution around the eyelids. Of the eight previously documented cases of acral syringomas, all were located on the dorsal aspect of the upper extremities (fingers, hand, wrist, or forearm) dominantly. OBJECTIVE: We report a 41-year-old woman who presented with multiple flesh-colored to reddish brown papules on the inner aspect of the forearms and many pearly, small papules on the periorbital regions. RESULTS: The clinical picture and histopathology indicated the coexistence of acral syringomas and multiple trichoepitheliomas on the face. CONCLUSION: To the best of our knowledge, this is the first case of acral syringomas coexisting with multiple trichoepitheliomas.
BACKGROUND: An extremely rare variant of syringoma is an acral form, which affects the upper extremities as an isolated finding. The acral syringomas may also be associated with syringomas on the feet or usual distribution around the eyelids. Of the eight previously documented cases of acral syringomas, all were located on the dorsal aspect of the upper extremities (fingers, hand, wrist, or forearm) dominantly. OBJECTIVE: We report a 41-year-old woman who presented with multiple flesh-colored to reddish brown papules on the inner aspect of the forearms and many pearly, small papules on the periorbital regions. RESULTS: The clinical picture and histopathology indicated the coexistence of acral syringomas and multiple trichoepitheliomas on the face. CONCLUSION: To the best of our knowledge, this is the first case of acral syringomas coexisting with multiple trichoepitheliomas.