Indian Dermatology Online Journal

: 2020  |  Volume : 11  |  Issue : 6  |  Page : 1042--1043

Dermoscopy of syingoma

Mayuri Kalantri, Uday Khopkar 
 Department of Dermatology, Seth G.S Medical College and KEM Hospital, Parel, Mumbai, Maharashtra, India

Correspondence Address:
Mayuri Kalantri
Department of Dermatology, Seth G.S Medical College and KEM Hospital, Parel, Mumbai - 400 012, Maharashtra

How to cite this article:
Kalantri M, Khopkar U. Dermoscopy of syingoma.Indian Dermatol Online J 2020;11:1042-1043

How to cite this URL:
Kalantri M, Khopkar U. Dermoscopy of syingoma. Indian Dermatol Online J [serial online] 2020 [cited 2021 Jan 18 ];11:1042-1043
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Full Text

A 40-year-old female presented with multiple asymptomatic lesions over face since 2 years. There were multiple, 2–3 mm size, skin colored papules over bilateral cheeks, around eyes, and nose [Figure 1].{Figure 1}

Dermoscopy (DermLite 3Gen; polarized mode, 10× magnification) of papules revealed multiple pigmented clusters. These pigmented clusters consisted of brown pseudonetwork and multiple white dots which appeared larger than those over uninvolved skin [Figure 2]. These are consistent with previously described features.[1]{Figure 2}

A punch biopsy from papule revealed nests, cords, and tubules of epithelial cells arranged in dense fibrous stroma. Ducts were lined by double cuboidal epithelium with a comma-like tail (tadpole appearance) [Figure 3]. Biopsy confirmed the diagnosis of syringoma. White dots seen on dermoscopy correlated to dilated eccrine ducts seen on histopathology.{Figure 3}

Syringoma is a benign adnexal tumor derived from intraepidermal eccrine ducts which occur predominantly in women in early adulthood over face. Skin biopsy of facial lesion is often not acceptable due to cosmetic concern. Dermoscopy being easy, rapid noninvasive technique helps to differentiate syringoma from other skin colored papules and increase the clinical diagnostic accuracy. The dermsocopic findings of various differentials of syringoma are tabulated in [Table 1].{Table 1}

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The authors certify that they have obtained all appropriate patient consent forms. In the form the patient(s) has/have given his/her/their consent for his/her/their images and other clinical information to be reported in the journal. The patients understand that their names and initials will not be published and due efforts will be made to conceal their identity, but anonymity cannot be guaranteed.

Financial support and sponsorship[4]


Conflicts of interest

There are no conflicts of interest.


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