Eccrine syringofibroadenoma (ESFA) is a rare benign cutaneous lesion due to the proliferation of the eccrine acrosyringium. To our knowledge, mucous involvement has never been mentioned. We report a case of multifocal ESFA with plantar lesions and balanoposthitis.
Report of a Case.
A 30-year-old man was referred for involuting painful lesions of the soles. These lesions began 6 years earlier as a dishidrotic aspect of the left plantar arch, with progressive bilateralization. The medical history included recurrent uveitis, sinusitis, otitis media, and adult-onset insulin-dependent diabetes mellitus. Family history was free of similar symptoms. On physical examination, both soles exhibited pink-red elevated spongy plaques with punctate hyperkeratotic aspects and a well-demarcated border (Figure 1 ). A glossy erythematosus balanoposthitis with scattered whitish hyperkeratotic points was noted (Figure 2). There were no other manifestations despite hyperhidrosis of the palms and soles. Local treatment with 33% trichloroacetic acid and corticosteroids partially improved the symptoms.
Ochonisky S, Wechsler J, Marinho E, Revuz J. Eccrine Syringofibroadenomatosis (Mascaro) With Mucous Involvement. Arch Dermatol. 1994;130(7):933-934. doi:10.1001/archderm.1994.01690070129023