Novel Insights from Clinical Practice

Capurro N.a· Herzum A.a· Cozzani E.a,b· Burlando M.a,b· Riva S.b· Paudice M.c· Parodi A.a,b

Author affiliations

aSection of Dermatology, Department of Health Sciences (DISSAL), University of Genoa, Genoa, Italy
bDermatology Unit, IRCCS Ospedale Policlinico San Martino, Genoa, Italy
cAcademic Unit of Pathology, Department of Integrated Surgical and Diagnostic Sciences (DISC), University of Genoa, Genoa, Italy

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Article / Publication Details

First-Page Preview

Received: February 20, 2022
Accepted: December 15, 2022
Published online: January 30, 2023

Number of Print Pages: 3
Number of Figures: 3
Number of Tables: 0

ISSN: 2296-9195 (Print)
eISSN: 2296-9160 (Online)

For additional information: https://www.karger.com/SAD

Abstract

Introduction: Eruptive syringomas (ES) are a rare variant of syringomas, benign adnexal tumors of eccrine sweat glands’ ducts. They mostly affect young-to middle-aged women, but rarely they may also occur in the elderly, requiring generally no specific treatment. Case Presentation: We present the case of a 76-year-old woman with sudden onset of ES. Clinical examination evidenced brown-to-orange papules and plaques on the anterior neck, corresponding dermatoscopically to orange-brownish structureless areas, with barely hinted peripheral incomplete network, superimposed on areas of light pink. Histology showed dermal proliferation of epithelial cells forming cords and ductules, confirming the clinical-dermoscopic suspect of ES. The lesions remained stable at 12-month follow-up without treatment. Discussion: This case highlights the role of dermoscopy to help differentiate ES from other clinically similar but more serious entities, such as histiocytosis, mastocytosis, and lichen planus, and to schedule the required confirmatory biopsy in due time without haste.

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References Aleissa M, Aljarbou O, AlJasser MI. Dermoscopy of eruptive syringoma. Skin Appendage Disord. 2021;7(5):401–3. Sakiyama M, Maeda M, Fujimoto N, Satoh T. Eruptive syringoma localized in intertriginous areas. J Dtsch Dermatol Ges. 2014;12(1):72–3. Botsali A, Caliskan E, Coskun A, Tunca M. Eruptive syringoma: two cases with dermoscopic features. Skin Appendage Disord. 2020;6(5):319–22. Delorenze LM, Russo T, Boechat M, Castro G, Argenziano G, Pagliuca F, et al. Dermoscopy of solitary cutaneous reticulohistiocytoma. G Ital Dermatol Venereol. 2018;153(4):579–80. Article / Publication Details

First-Page Preview

Received: February 20, 2022
Accepted: December 15, 2022
Published online: January 30, 2023

Number of Print Pages: 3
Number of Figures: 3
Number of Tables: 0

ISSN: 2296-9195 (Print)
eISSN: 2296-9160 (Online)

For additional information: https://www.karger.com/SAD

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