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Why Do I Have Very Small Blood Pimples Appearing On My Scrotum?

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Posted on Sat, 23 Apr 2022
Question: I have very small blood pimples appearing on my scrotum area. There are 8 of them currently. A couple of them apparently broke and left blood on my underwear. No pain, no discomfort..they're just there.
doctor
Answered by Dr. Dr. Kakkar (3 hours later)
Brief Answer:
Angiokeratomas of fordyce

Detailed Answer:

Hello,

Perhaps you have Angiokeratomas of the scrotum i.e Fordyce Angiokeratomas. They are composed of localized dilated capillaries and appear as black or blue spots that bleed profusely when traumatized.

I request you to kindly upload a few images of the affected area in "Reports Section" so that I am able to have a look and guide you further on this.

Hope to assist you further once I get the images
Above answer was peer-reviewed by : Dr. Raju A.T
doctor
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Follow up: Dr. Dr. Kakkar (3 hours later)
Dr. Kakkar S.,
Thank you for your response to my question. You have given an exact description of the issue. These deep red blood spots, 8 or 9 of them, have no other symptoms. I have recently had a check by my Internal Medicine physician including blood work. I seem to be a very healthy individual with very low cholesterol HDL and adequate LDL levels. My normal blood pressure stands at 135/80. My only real concern is the possibility of Fabray Disease. It is not found, that I know of, in my family genetic makeup. Could this be a factor in the Angiokeratomas? On occasion I have severe burning in my left hand between the thumb and first finger. It may last for a day then disappears. It is not a normal occurrence, however it is quite severe as far as the burning goes. This does not seem to be found in any other part of my body. I always thought of it as Arthritis. I easily sweat when engaged in heavy activity. Would that be a decisive factor in the absence of FD? Thank You for your advice.

I became aware of this Angiokeratoma when I noticed a large spot of blood on my underwear. It cause immediate concern. However, at this point, I am feeling relieved by your diagnosis. Thank You
doctor
Answered by Dr. Dr. Kakkar (23 hours later)
Brief Answer:
Angiokeratomas

Detailed Answer:

Hi,

Fabry disease is rare. It has X linked inheritance and there may be a family history. Moreover In fabry disease angiokeratomas are diffuse i.e widespread and usually start early in life. Whereas Fordyce angiokeratomas on the scrotum is a localized variety and is the most common type.

Take care
Let me know if you need any more assistance.
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. Vaishalee Punj
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Answered by
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Dr. Dr. Kakkar

Dermatologist

Practicing since :2002

Answered : 9612 Questions

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Why Do I Have Very Small Blood Pimples Appearing On My Scrotum?

Brief Answer: Angiokeratomas of fordyce Detailed Answer: Hello, Perhaps you have Angiokeratomas of the scrotum i.e Fordyce Angiokeratomas. They are composed of localized dilated capillaries and appear as black or blue spots that bleed profusely when traumatized. I request you to kindly upload a few images of the affected area in "Reports Section" so that I am able to have a look and guide you further on this. Hope to assist you further once I get the images