Angiokeratoma – Is it a cause of worry?

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It is very common to have skin blemishes on different parts of body. The concern rises when these blemishes show symptoms, especially, when you have something at or around your genital area. You cannot ignore any lesions or blemishes even if they are not producing any symptoms or simply they are blemishes in this region. It is always recommended to have a formal consultation with a doctor to rule out any serious medical condition.

Angiokeratoma is one type of skin blemish which are usually harmless and can be symptomless. Medically, it has more than one form and can be categorised as follows;

Angiokeratoma of Fordyce : appear on scrotum in men or vulva (genitalia) in women

Solitary Angiokeratoma : appear on arms and legs

Corporis Diffusum : appear on the lower part of the body

Circumscriptum : appear in cluster on legs and body.

Angiokeratoma of Mibelli : appear on dorsal part of fingers and toes, knees, elbows and breasts.

Very rarely, the cases of Angiokeratoma are reported in women, whereas in men Angiokeratoma of fordyce can be seen in up-to 30% of the population. These are vascular dilation near the skin surface with red to purple appearance. They are benign and smooth to touch. Apart from occasional bleeding due to scratching you will not notice any other symptoms. Despite of that, they are a major psychological concern for the sufferer due to its presence and also their appearance.

When you should be alarmed?

Asymptomatic Angiokeratoma is never a cause of concern but it often requires a close follow up. Lesions that appear benign may mock malignancies in later stage.

If a woman is reporting the case then it is important to have a close examination as it is reported rarely in females. Also, it is important to consider diagnosis of other diseases that may cause due to infection or neoplasia.

Treatments of Angiokeratoma

There are number of treatments available for this condition but unfortunately none is successful but the results are variable with the following methods.

  • CO2 laser ablation – In this process the lesions are vaporised using laser beam. The treatment is fast, painless and scarless with less downtime.
  • Cryotherapy – It is a cold therapy in which liquid nitrogen is used to destroy the lesions.
  • Electro-dessication surgery – In this process, radio waves are used to destroy the lesions using precise electrodes so that no adjacent tissues get damaged.
  • Excision – It is an invasive process in which lesions are cut out precisely under the effect of anaesthesia.
  • Conclusion

    If you are a man reading this and have asymptomatic Angiokeratoma, you may skip having a treatment if it is not affecting you psychologically. Whereas, having a consultation with your GP or specialised doctor is also recommended.

    On the other hand, if you are a woman it is highly recommended to get your lesions checked with a specialised doctor as its occurrence is rare.

    At Renew Skin and Health Clinic, different treatments of Angiokeratoma are available. You may book clinical consultation and examination with our specialised doctor by calling at 01926 422 454.

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