Syringoma is one of the most common neoplasms of the eccrine gland. Among the different clinical variants, generalized and milia-like syringoma present in only 0.6% of the general population.
We present an unusual case of a healthy 26 year old Filipino male with a 9 year history of multiple, asymptomatic, symmetrical, discrete white and skin colored to hyperpigmented papules over the periorbital area, forehead, and chin, later gradually spreading to the trunk and both extremities. Darier's sign was negative. Histopathological examination taken from the whitish and hyperpigmented papule both revealed cystic eccrine ducts lined by 2 rows of epithelial cells showing comma-like tails consistent with syringoma. Treatment with electrodessication was done. The patient was advised that the result is only temporary with a high likelihood of recurrence.