Scrotal and vulval angiosclerosis D23.9

Fordyce, 1896

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).

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

Occurring in old age.

Scrotum, vulva, glans penis

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.

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

Clinical picture is diagnostic. Gfls. histological confirmation.

Angiokeratoma corporis diffusum; Kaposi sarcoma.

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.

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