Angiokeratoma of Fordyce ( 2 фото )

не все "бородавки" выглядящие как бородавки бородавками являются

Angiokeratoma of Fordyce
A 35-year-old woman presented to the dermatology clinic with a 4-year history of itchy, wartlike lesions in her pubic region. The lesions bled when traumatized during shaving of the pubic hair. One year before presentation, cryotherapy had been administered for a presumed diagnosis of genital warts, but the lesions had not abated. Physical examination was notable for hyperpigmented, hyperkeratotic papules forming three plaques over the mons pubis (Panel A). Dermoscopy showed well-demarcated reddish-to-violaceous lacunae, representing dilated capillaries (Panel B, black arrows), and an overlying white veil of epidermal hyperkeratosis (Panel B, white arrows). A diagnosis of angiokeratoma of Fordyce was made. Angiokeratoma of Fordyce is a benign cutaneous vascular lesion characterized by capillary dilatation in the papillary dermis. The lesion is most typically seen on the genitals and is more common in men than in women. The prevalence increases with age. Angiokeratoma of Fordyce may be difficult to distinguish from other genital lesions, such as warts and verrucous hemangiomas. The patient underwent a single session of treatment with a neodymium:yttrium–aluminum–garnet (YAG) laser to reduce the vascularity of the lesions, followed by ablation with an erbium:YAG laser. During telephone follow-up 2 months after the procedure, the patient reported that the lesions had not recurred.
Authors: Namratha Puttur, M.B., B.S. , and Kshitiz Lakhey, M.B., B.S
Published November 2, 2024
N Engl J Med 2024;391: e39
DOI: 10.1056/NEJMicm2407196
VOL. 391 NO. 1


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