A young man in his late twenties came to me for the treatment of his hand dermatitis. He said he also had some penile lesions which is present since childhood and it bleeds on scratching sometimes. He said his father and his grandfather had similar lesions! What is your diagnosis?
My diagnosis:
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Classical angiokeratoma – does he have any other organ involvement?This will respond to cryo.
He does not have any other organ involvement or features of Fabrys. He doesnt have lesions elsewhere either. Can we include this under Angiokeratoma of Fordyce? Scrotum was not involved.
angiokeratoma of fordyce
? molloscum, it looks typical of such lesions, they are not purple/red like angiokeratoma! cryo should be first line