Multiple acral syringomata with uniform involvement of the hands and feet.

We present a case of a 43-year-old black woman with multiple syringomata located on the dorsa of the hands and feet. Although syringoma is a common adnexal tumor, acral presentation is very rare. Symmetrical involvement of the distal lower extremities has not been reported previously. This interesting clinical presentation should be included in the differential diagnosis of a papular eruption of the hands and feet.