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June 1989

Late-Onset Syringomas of the Upper Extremities Associated With a Carcinoid Tumor

Author Affiliations

Clinique Dermatologique Hotel Dieu 6 Place Daviel 13002 Marseille, France; Laboratoire d'Anatomie Pathologique Faculté de Médecine 13015 Marseille, France

Arch Dermatol. 1989;125(6):848-849. doi:10.1001/archderm.1989.01670180120026

To the Editor.—  Syringomas limited to the extremities have rarely been discussed in the literature.1 In 1982, Van den Broek and Lundquist2 reported an unusual case of syringomas in a 52-year-old man. The authors emphasized two very unusual features: the exclusive and symmetrical localization of the syringomas on the distal forearms, and their very late occurrence. No similar case has been reported since. We report a new case of this very unusual variant of syringomas, observed concomitantly with a carcinoid tumor of the lung.

Report of a Case. —  A 70-year-old man was seen in March 1984 because of a 1-year history of an acquired asymptomatic eruption on both forearms. Physical examination revealed multiple grouped and symmetrical 4-mm yellow-brown papules over all the flexural face of the forearms (Fig 1). No similar lesions were noted elsewhere on the skin. A biopsy of a papule showed typical features of