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

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