Scrotal and vulval angiosclerosis D23.9

Author: Prof. Dr. med. Peter Altmeyer

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Last updated on: 29.10.2020

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Synonym(s)

angiokeratoma fordyce; angiokeratoma of fordyce; angiokeratoma of the scrotum (Fordyce type)

History
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Fordyce, 1896

Definition
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Circumscribed vascular ectasia ( angiokeratoma) on the scrotum, vulva, more rarely also on the glans penis (there disseminated or strung in the area of the corona glandis).

Etiopathogenesis
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Triggering by increased venous pressure (varicocele) is being discussed.

Manifestation
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Occurring in old age.

Localization
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Scrotum, vulva, glans penis

Clinical features
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Isolated or multiple, pinhead- to lenticular-sized, first light-, then blue-red papules with mostly smooth, occasionally scaly or woolly surface. No significant growth tendency.

Histology
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Dilated capillaries in the papillary stratum, partly enclosed by elongated retele strips.

Diagnosis
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Clinical picture is diagnostic. Gfls. histological confirmation.

Differential diagnosis
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Therapy
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In most cases not necessary, since completely harmless. In case of increased bleeding tendency or a pronounced desire for therapy, coagulation, laser treatment ( argon laser) or excision.

Literature
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  1. Bechara FG, Altmeyer P, Jansen T (2004) Unilateral angiokeratoma scroti: a rare manifestation of a vascular tumor. J Dermatol 31: 39-41
  2. Fordyce JA (1896) Angiokeratoma of the scrotum. J Cutan Genitourin Dis 14: 81-87
  3. Jansen T, Bechara FG, Stucker M, Altmeyer P (2002) Angiokeratoma of the scrotum (Fordyce type) associated with angiokeratoma of the oral cavity. Acta Derm Venereol 82: 208-210
  4. Miller C, James WD (2002) Angiokeratoma of Fordyce as a cause of red scrotum. Cutis 69: 50-51

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Last updated on: 29.10.2020