Adult onset eruptive syringoma/Eriskin baslangicli eruptif siringom

Citation metadata

Authors: Nurdan Seda Kutlu Haytoglu, Silan Kartal, Ummuhan Kiremitci, Mehmet Salih Gurel and Esra Pasaoglu
Date: Sept. 2012
From: Istanbul Medical Journal(Vol. 13, Issue 3)
Publisher: AVES
Document Type: Article
Length: 1,272 words
Abstract :

Syringomas are common, benign eccrine sweat gland tumors, more frequently seen in women. Clinically, they appear as asymptomatic small firm papules skin colored to yellowish dermal papules often scattered in the periorbital area. Eruptive syringoma is a rare variant, which has been described to occur in successive crops on the anterior body surface, usually in young persons. A 38-year-old, healthy, white male presented with a 6-year history of papular eruptions. The lesions began as a few tan-colored papules on the abdomen and spread to all of the trunk and recently became mildly pruritic. Physical examination revealed multiple reddish brown-colored, flat-topped papules 1-3 mm in diameter on the anterior chest, abdomen and axillae. Also a few similar lesions were seen in the periorbital region. The biopsy specimen demonstrated a normal epidermis overlying a dermis that was filled with many small ducts of cuboidal cells with eosinophilic cytoplasm, along with cords of epithelial cells embedded in a fibrous stroma creating a 'tadpole' appearance. The lesions were diagnosed as eruptive syringoma with clinical and histopathological findings. While the localized form in the periorbital area can be clinically diagnosed, the eruptive form may not be easily considered in the differential diagnosis at the first visit. This rare entity should also be considered in the differential diagnosis of eruptive papular dermatosis. Key words: Ecrine sweat gland tumor; eruptive syringom; papular dermatosis; syringoma. Siringomlar kadinlarda daha sik gorulen yaygin, selim ekrin ter bezi tumorleridir. Klinik olarak genellikle periorbital bolgede dagilim gosteren kucuk, deri renginden sarimsi renge varan, siki kivamli asemptomatik papuller olarak belirirler. Eruptif siringom, genellikle genclerde gorulen, govde on yuzde cok sayida ardisik lezyonlardan olusan nadir bir varyantidir. Otuz sekiz yasinda saglikli, beyaz erkek hasta, 6 yildir devam eden papuler erupsiyonlar nedeniyle basvurdu. Lezyonlar karinda birkac adet bronz renkli papuller olarak baslamis ve tum govdeye yayilarak, son zamanlarda hafifce kasintili bir hal almisti. Fizik muayenesinde, gogus, karin ve aksillada cok sayida kizil kahverengi, duz yuzeyli 1-3 mm caplarinda papuller vardi. Benzer birkac adet lezyon periorbital bolgesinde de bulunmakta idi. Yapilan biyopside, fibroz stromaya gomulmus eozinofilik sitoplazmali kuboidal hucrelerden olusan cok sayida kucuk duktuslar ve 'iribas' goruntusu olusturan epitelyal hucre kordonlari ile dolmus bir dermisin uzerinde normal epidermis saptandi. Bu klinik ve histopatolojik bulgular dogrultusunda lezyonlar eruptif siringom olarak degerlendirildi. Periorbital bolgede yerlesim gosteren siringomlar klinik olarak taninabilirken, eruptif formu ilk degerlendirmede ayirici tanilar arasinda kolaylikla dusunulememektedir. Bu nadir antite de eruptif papuler dermatozlarin ayirici tanisinda dusunulmelidir. Anahtar sozcukler: Ekrin ter bezi tumoru; eruptif siringom; papuler dermatoz; siringom.

Main content

Source Citation

Source Citation
Haytoglu, Nurdan Seda Kutlu, et al. "Adult onset eruptive syringoma/Eriskin baslangicli eruptif siringom." Istanbul Medical Journal, vol. 13, no. 3, 2012, p. 141+. Accessed 4 Aug. 2020.
  

Gale Document Number: GALE|A304466657