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Syringomas as a causative factor for cicatricial alopecia.

To the Editor.— In the JulyArchives(1980;116:843-844), Shelley and Wood described the development of occult syringomas of the scalp associated with progressive hair loss. We read "the odd, the queer, and the strange" report with great interest. Report of a Case.— A 47-year-old man was seen by us for the evaluation and treatment of cicatricial alopecia of 20 years' duration (Fig 1). 1 The erythema was substantial, and the diagnosis of lupus erythematosus was entertained. A biopsy was performed, and we were astonished to find that the entire section showed multiple cystic structures with the epithelial characteristics of syringomas. The following additional features were found in our case: (1) the presence of classic syringomas as well as eruptive generalized syringomas on the eyelids, (2) the association of localized but obvious cutis laxa with drooping of the eyelids and heavy folds and wrinkles on the face, giving it a prematurely old appearance (Fig 2), and (3) the