“…Vulvar syringoma should be in the differential diagnosis of pruritus vulva and vulvar papular lesions, such as Fox-Fordyce disease, epidermal cysts, milias, senile angiomas, condyloma acuminata, steatocystoma multiplex, vulvar idiopathic calcinosis, lymphangioma circumscriptum, and lichen simplex chronicus [1, 3]. Patients with vulvar syringoma may complain of severe itching [4–6].…”