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Case Reports
. 2024 Jun 12:12:2050313X241260492.
doi: 10.1177/2050313X241260492. eCollection 2024.

Intralesional sclerotherapy for angiokeratoma of Fordyce: A case report

Affiliations
Case Reports

Intralesional sclerotherapy for angiokeratoma of Fordyce: A case report

Breethiga Velusamy et al. SAGE Open Med Case Rep. .

Abstract

A 46-year-old male presented with a 6-year history of progressive, purplish-red, hyperkeratotic papules on the scrotum. These lesions bled during intercourse and routine activities, causing significant distress. Clinical examination and pathological evaluation confirmed the diagnosis of angiokeratoma of Fordyce. Due to patient preference and cost-effectiveness, sclerotherapy with 3% sodium tetradecyl sulfate was chosen. Following topical anesthesia, the lesions were injected with the sclerosing agent. After two sessions spaced 2 weeks apart, complete resolution of both the smaller and larger lesions was achieved. This case report expands the therapeutic options for angiokeratoma of Fordyce and highlights the successful utilization of 3% sodium tetradecyl sulfate sclerotherapy in achieving complete clearance with minimal invasiveness and cost.

Keywords: Angiokeratoma of Fordyce; dermatology; sclerotherapy; scrotum.

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Conflict of interest statement

The author(s) declared no potential conflicts of interest with respect to the research, authorship, and/or publication of this article.

Figures

Figure 1.
Figure 1.
(a) and (b) Fordyce angiokeratoma (before treatment), (c) and (d) follow-up at 2 weeks—lesions have attained almost complete resolution.

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