Angiokeratoma is a benign skin lesion which was first identified by an American surgeon called Dr John Addison Fordyce hence it is also called Angiokeratoma of Fordyce. It more commonly affects older individuals and very rare in younger people of both sexes. It can be described red to black bumps or papules. It varies in colour, size, and shape. It is however generally seen as dark red to black in colour depending upon various skin types. The size of these lesions may be anything between 1 mm to 5 mm. When touched, these lesions feel hard and cannot be blanched by compressing them. Some angiokeratomas may have an uneven surface, and hence it is sometimes described as "pebbled”.

Angiokeratoma of Fordyce is generally multiple scattered lesions which may be present on the scrotum or vulva on middle-aged to elderly individuals. Most of these lesions appear darkish red to purplish colour and can be quite embarrassing for the sufferers. A much rate variety of angiokeratoma which relates to a disorder called Fabry’s disease which may present with multiple small red dots of angiokeratomas scattered around the trunk. The angiokeratomas which are associated with Fabry’s disease is called Angiokeratoma Corporis or Corporis Diffusum.

As some clinicians sometimes get confused with malignant melanomas especially with a newly developed angiokeratoma, these lesions are therefore sometimes excised and biopsied by the treating doctor to ensure that they are not cancerous. Most angiokeratomas are asymptomatic and only concerns it carries its unaesthetic appearance. These lesions are however benign lesions, and they, therefore, don’t have to be treated. If they are frequently causing symptoms such a bleeding or secondary infection and or the bother with its appearance, then the patient may choose to go for treatment.

Treatment options include cryo, electrosurgery, laser ablation with pulsed dye laser, and surgical excision. At Renew Skin and Health Clinic in Leamington Spa, we treat angiokeratomas with either electrodesiccation or Pulsed Dye laser following a formal clinical assessment.

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