This article discusses a case of localized multiple genital syringoma in twin girls. Syringoma is a benign eccrine tumor commonly found in adolescent girls, characterized by soft papules on the face. However, in this case, the girls presented with multiple vulvar papules accompanied by pruritus. The article highlights the familial component of syringoma, as the girls' mother also had periorbital syringoma. The article emphasizes the need to consider syringoma as a possible cause of vulvar pruritus in children. [Extracted from the article]