case_images: PMC9282696_01
case_images: Bilateral vulvar syringomas with lichenification
case_images: IJSTD-43-74-g001.jpg
case_images: PMC9282696_01_IJSTD-43-74-g001.jpg
case_images: F1
case_images: On detailed examination, there were multiple skin colored, smooth, mostly flat-topped, and a few dome-shaped, soft papules ranging from 1-5 millimeters in size, predominantly over the forehead, eyelids, cheeks, and sparsely over the upper lip and chin [Figure 1].
case_images: Facial syringomas involving the forehead, cheeks, and periorbital area
case_images: IJSTD-43-74-g002.jpg
case_images: PMC9282696_01_IJSTD-43-74-g002.jpg
case_images: F2
case_images: Examination of genitalia revealed lichenification and hyperpigmentation of labia majora with multiple discrete and few confluent smooth, flat-topped papules [Figure 2], and similar to facial lesions.
case_images: Histopathology (vulva): Showing multiple ductal structures with tadpole appearance (arrow) in the fibrous stroma (H and E, x100)
case_images: IJSTD-43-74-g003.jpg
case_images: PMC9282696_01_IJSTD-43-74-g003.jpg
case_images: F3
case_images: The characteristic tadpole-like appearance was noticed [Figures 3 and 4].
case_images: Histopathology (face): Showing multiple dilated ductal structures with amorphous debris (H and E, x100)
case_images: IJSTD-43-74-g004.jpg
case_images: PMC9282696_01_IJSTD-43-74-g004.jpg
case_images: F4
case_images: The characteristic tadpole-like appearance was noticed [Figures 3 and 4].