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