Vulvar Syringoma

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.

Syringomas Under Eye

Syringomas are small harmless lesions that usually appear under the lower eyelids and sometimes on cheeks. They usually starts in young age and present as small, multiple, soft, skin-color to yellow brown papules. Syringomas are common in women then men. As they are harmless no treatment is required. Treatment of Syringoma is for cosmetic purpose only.

Syringoma under eye is caused due to overgrowth of cells from sweat glands. Syringomas may also run in families. It may also be common in other disease. Report shows that more then 18% of people with Down Syndrome may have syringoma. Diabetes peoples also often have clear cell syringoma.

Sometimes Syringoma may be confused with other skin conditions. In that case your doctor will confirm it by skin biopsy and exclude other possible conditions. If syringoma is confirmed as a diagnosis. You may not need any treatment. But syringoma under eye is often frustrating, so for cosmetic reason it can be removed.

Destruction of syringoma may be simple but scarring and recurrence may be occur. So consult your dermatologist before trying any treatment options for syringoma. Some of the syringoma treatment that are being used may include:

  • Excision of lesion with scalpel, scissors or flexible razor blade.
  • Carbon dioxide or Er:YAG laser treatment.
  • Cryosurgery, which involved freezing the lesion with liquid nitrogen.
  • Cauterization, which involves burning the lesion with a electric needle.
  • Electrodesiccation and curettage.
  • Dermabrasion.
  • Trichloroacetic acid.