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angiokeratoma of Fordyce

Epidemiology: 1) most common form of angiokeratoma 2) 20% of men > 70 years of age Clinical manifestations: 1) involves the scrotum & vulva - also may occur on penis, inguinal region or upper thigh 2) lesions are 1-4 mm papules bright red to purple in color 3) numbers & size increase with age; color darkens with age 4) often asymptomatic 5) lesions may itch or cause pain, or bleed Differentia diagnosis: - Fabry's disease Management: 1) symptomatic 2) cryotherapy with liquid nitrogen 3) electrodessication 4) laser ablation

General

angiokeratoma

References

  1. Color Atlas & Synopsis of Clinical Dermatology, Common & Serious Diseases, 3rd ed, Fitzpatrick et al, McGraw Hill, NY, 1997, pg 159
  2. Gilchrest BA, Aging of the Skin, In: Principles of Geriatric Medicine, 4th ed,, Hazzard et al (eds), McGraw-Hill, NY, 1999, pg 580-81