Angiokeratoma of Fordyce

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Vascular Dermatology No Comments

– Affects scrotum (approx 10% of men over the age of 50) or vulva

– Look like haemangiomas

– can present with bleeding

Investigations

– Abdominal USS – Rule out abdominal masses

– Testicular USS – Rule out varicocoele

– Urine dip +/- urology referral to rule out urinary tract tumours

– Consider alpha-galactosidase enzyme testing (rule out Fabry’s – particularly in men)

– Bloods for renal function

Management

None required

Laser probably the best treatment but can also try cryotherapy or cautery if problematic