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VIGNETTES
Fordyce Angiokeratomas as Clues to Local Venous Hypertension
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The term angiokeratoma histologically denotes acquired ectasia of blood vessels in papillary dermis and hyperkeratosis of the overlying epidermis.1 Clinically, the term covers several unrelated disorders presenting with hyperkeratotic vascular papules. Among them are genital (Fordyce) angiokeratomas.
Report of Cases
Case 1
A 66-year-old man presented with a red-purple, confluent papular eruption located on the left side of the glans penis and the left side of the scrotum (Figure 1). His medical history was remarkable for irritable bowel syndrome and a left-sided, 3-cm renal cyst. Urology consultation yielded a left-sided varicocele, which was evident by Doppler ultrasound imaging on Valsalva maneuver.
Figure appears in full text version.
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Figure 1. Multiple angiokeratomas on the left side of the scrotum.
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Case 2
A 43-year-old man presented with numerous red-purple papules located on the corona and glans penis. Histologic evaluation of an excisional biopsy specimen showed minimal epidermal hyperkeratosis and dilated blood vessels in the upper dermis (Figure 2). His medical history . . . [Full Text of this Article]
Comment
AUTHOR INFORMATION
Emel Erkek, MD;
M. Murad Basar, MD;
Yeter Bagci, MD;
Aysen Karaduman, MD;
Cenk Yucel Bilen, MD;
Aytac Gokoz, MD
THIS ARTICLE HAS BEEN CITED BY OTHER ARTICLES
Angiokeratoma of the scrotum: a case of scrotal bleeding.
Trickett and Dowd
Emerg. Med. J. 2006;23:e57-e57.
ABSTRACT
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