Syringoma. These very small papules are adenomas of intraepidermal eccrine ducts. Most commonly, syringomas develop on the eyelids of women during adolescence or early adult life. This image is a good example of the fine papules that occur on the lower eyelids. They have no malignant potential, but the lesions are usually multiple and therefore the cause of cosmetic concern. Syringomas of this type may be delicately removed by electrodesiccation and curettage. But because they're deep, they tend to come back.
Color Atlas of Pediatric Dermatology Samuel Weinberg, Neil S. Prose, Leonard Kristal Copyright 2008, 1998, 1990, 1975, by the McGraw-Hill Companies, Inc. All rights reserved.
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