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Is A Tiny Bluish Spot On The Scrotum A Symptom Of Angiokeratoma?

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Posted on Mon, 7 Mar 2016
Question: Is this a tiny mole or Angiokeratoma?

I have this solitary tiny spot and wondering if it is a mole or Angiokeratoma (not sure whst that is but saw it online). Its been there for ages I think and hasnt changed. Does it look okay? Seem more brown when the scrotum skin is relaxed but more blueish under the camera flash. See pics.
doctor
Answered by Dr. VINAY KUMAR (1 hour later)
Brief Answer:
Angiokertoma possibility

Detailed Answer:
Hello My Dear,

Thanks for contacting us with your query!
I am Dr V XXXXXXX a XXXXXXX Consultant Dermatologist and Venereologist.

I have studied the details and would be glad to help you in finding a solution to the concerns.

I have found that pics 1 and 4 are sufficient to display correctly all the features of the lesions and these match Angiokeratoma of Fordyce. For someone attending with me personally, I would have taken a thorough history and conducted examination of lesions as well as general health and. In most cases, I would have advised as follows:

1 Till the time, the lesions doe not show any of the following changes,( and it would be unlikely for the lesion in this case to show any of the mentioned changes) no intervention is advisable; Growth/Pain/Hardness/New lesions surrounding the original one. Most of my patients ( in the last thirty years) are not even aware of their presence and I never had to suggest a biopsy to any of them. This has been a practice to make them aware and tell of potential risks which have never appeared subsequently.

Angiokeratomas are innocent and represent a dilated blood vessel in the upper skin that is disturbing only due to cosmetic reasons. Even if they bleed sometimes, very rare to happen, applying simple pressure has been effective every time.

2 These rarely need treatment, and if at all needed, Laser or Radio Frequency ablation are done in physician's chamber.

3 These differ from moles by color, location, surface characteristics, and by features easily distinguishable on histopathological examination after a biopsy.

4 Angiokeratomas can look deep red, bluish or brownish. All these color variations are within normal range.

Please make the best use of given information. I would be glad to answer any further questions from you.

Our best wishes, always!

Above answer was peer-reviewed by : Dr. Raju A.T
doctor
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Follow up: Dr. VINAY KUMAR (1 hour later)
Thank you so much for your response, your help is much appriciate. Just a couple of questions:

I only have this one small spot and on the internet most men seem to have a few of them?

How do you distinquish between this and a tiny mole?

You said Angiokeratoma possibility, what else could it be (sorry i get a bit paranoid about my skin). d
doctor
Answered by Dr. VINAY KUMAR (43 minutes later)
Brief Answer:
Number of lesions variable

Detailed Answer:
Hi

Welcome again

1 The number of lesions is variable from single to hundreds.

2 Characteristics are more important in diagnosis

3 Color, location, surface characteristics, and by features easily distinguishable on histopathological examination after a biopsy, are some of the differentiating features for these lesions from moles

4 The only possibility of relevance with the given details is of mole which would have appeared very different from the present picture.

I am sure you gained usefully from this information. let me know if any other doubts are pending. I will be glad to offer help.

Our best wishes, always!
Above answer was peer-reviewed by : Dr. Yogesh D
doctor
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Follow up: Dr. VINAY KUMAR (28 minutes later)
Again, thank you time and patience!

Would a tiny hermangiona resemble something like this or be a possibility?

And finally I guess I have nothing to worry about, right?

doctor
Answered by Dr. VINAY KUMAR (41 minutes later)
Brief Answer:
Hemangioma have different presentation and do not resemble present picture

Detailed Answer:
Dear Sir

Welcome.

1 Hemangioma is not a possibility due to age, presentation, location and several other characteristics.

2 Absolutely nothing to worry.

Have a good health and relax.
Above answer was peer-reviewed by : Dr. Yogesh D
doctor
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Follow up: Dr. VINAY KUMAR (1 hour later)
Thank you
doctor
Answered by Dr. VINAY KUMAR (6 minutes later)
Brief Answer:
Stay healthy

Detailed Answer:
Dear Sir


Wishing you a great health and happiness!

Dr V XXXXXXX
Note: Hope the answers resolves your concerns, however for further guidance of skin related queries consult our Dermatologist.Click here to book a consultation

Above answer was peer-reviewed by : Dr. Yogesh D
doctor
Answered by
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Dr. VINAY KUMAR

Dermatologist

Practicing since :1980

Answered : 480 Questions

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Is A Tiny Bluish Spot On The Scrotum A Symptom Of Angiokeratoma?

Brief Answer: Angiokertoma possibility Detailed Answer: Hello My Dear, Thanks for contacting us with your query! I am Dr V XXXXXXX a XXXXXXX Consultant Dermatologist and Venereologist. I have studied the details and would be glad to help you in finding a solution to the concerns. I have found that pics 1 and 4 are sufficient to display correctly all the features of the lesions and these match Angiokeratoma of Fordyce. For someone attending with me personally, I would have taken a thorough history and conducted examination of lesions as well as general health and. In most cases, I would have advised as follows: 1 Till the time, the lesions doe not show any of the following changes,( and it would be unlikely for the lesion in this case to show any of the mentioned changes) no intervention is advisable; Growth/Pain/Hardness/New lesions surrounding the original one. Most of my patients ( in the last thirty years) are not even aware of their presence and I never had to suggest a biopsy to any of them. This has been a practice to make them aware and tell of potential risks which have never appeared subsequently. Angiokeratomas are innocent and represent a dilated blood vessel in the upper skin that is disturbing only due to cosmetic reasons. Even if they bleed sometimes, very rare to happen, applying simple pressure has been effective every time. 2 These rarely need treatment, and if at all needed, Laser or Radio Frequency ablation are done in physician's chamber. 3 These differ from moles by color, location, surface characteristics, and by features easily distinguishable on histopathological examination after a biopsy. 4 Angiokeratomas can look deep red, bluish or brownish. All these color variations are within normal range. Please make the best use of given information. I would be glad to answer any further questions from you. Our best wishes, always!