The term angiokeratoma histologically denotes acquired ectasia of blood vessels in papillary dermis and hyperkeratosis of the overlying epidermis.1 Clinically, the term covers several unrelated disorders presenting with hyperkeratotic vascular papules. Among them are genital (Fordyce) angiokeratomas.
A 66-year-old man presented with a red-purple, confluent papular eruption located on the left side of the glans penis and the left side of the scrotum (Figure 1). His medical history was remarkable for irritable bowel syndrome and a left-sided, 3-cm renal cyst. Urology consultation yielded a left-sided varicocele, which was evident by Doppler ultrasound imaging on Valsalva maneuver.
VIGNETTES. Arch Dermatol. 2005;141(10):1325-1326. doi:10.1001/archderm.141.10.1325