Vulvar syringomas is relatively less reported then syringomas under eye or syringomas occurring in any other areas. As vulvar syringomas may usually be asymptomatic, they may not be recognized over genitalia. They may just appear on vulva alone or associated with eyelid syringoma or syringomas of other areas.
Vulvar syringomas are usually distributed symmetrically on the labia majoras of women in their third decade. They are usually asymptomatic but may be associated with occasional itching. They may especially be exacerbated during menstruation and summer. The lesions are usually multiple and are small, skin color to yellow to light brown papules which may cause vulvar discomfort and frequent pruritus.
It is important to visit a dermatologist to exclude other popular disease of genitalia. Common disease includes senile angiomas, fox-fordyce disease, condyloma acuminata, steatocystoma multiplex, lymphangioma circumscriptum, lichen simplex chronicus and contact dermatitis, which can easily be differentiated on histopathology. Also, association of similar lesions in other parts of the body may aid in diagnosis
Vulvar Syringoma Treatment
As they are harmless, so treatment is not necessary in case asymptomatic lesions. If the lesions are itchy, taking oral antihistamines might help. In case of severe itching, your doctor may prescribe low to mild potent topical corticosteroids. Potent corticosteroids are not recommended. Topical tretinoin and topical atropine have also been tried in some cases. Studies have indicated that topical steroids and oral antihistamines may not be effective in controlling pruritus in vulvar syringoma.
Several treatment modalities have been tried with fair results, but there are no any effective gold standard methods for complete cure. These may include excision, cryotherapy, carbon dioxide lasers and electro-desiccation. Several researches suggest carbon dioxide to be effective in treating the lesions.
It is necessary to search for a vulvar envolvement if one has facial Syringoma.