Case 2: Syringomas
The papules are syringomas, C, benign sweat gland tumors that are generally confined to the eyelids. Typically, lesions first appear during the third or fourth decade and slowly become more numerous, as in the 63-year-old patient shown here. They have no malignant potential and may be removed surgically for cosmetic reasons.
The lesions of sebaceous hyperplasia are yellowish papules around a central punctum. Milia are discrete white papules that appear as small, closed comedones. Seborrheic keratoses have patulous follicles and, like warts, a characteristic verrucous appearance.