Vulvar syringomas are rare. A review of English literature showed only four reported cases of syringoma limited to the vulva.1,2 In all these cases, the patients had multiple papular lesions involving both sides of the vulva. The lesion should therefore be considered in the differential diagnosis of multicentric papular lesions of the vulva.
Report of a Case
A 20-year-old healthy woman was seen at the Gynecologic Clinic of Grady Memorial Hospital for a routine checkup. Genital examination showed numerous, skin-colored papular lesions symmetrically involving both labia majora (Fig 1). An occasional lesion was yellowish. The patient had been aware of these lesions for the last four years. Occasionally, one of them got "infected," but otherwise they were completely asymptomatic. No added inconvenience was experienced during menstruation or warmer climate. Examination of the rest of the body did not show such lesions to be present anywhere else. No other member
Thomas J, Majmudar B, Gorelkin L. Syringoma Localized to the Vulva. Arch Dermatol. 1979;115(1):95-96. doi:10.1001/archderm.1979.04010010063019