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      Unilateral Angiokeratoma of Fordyce With Unilateral PEAKER: A Rare Presentation of an Uncommon Disease

      case-report
      1 , , 1 , 1 , 1
      ,
      Cureus
      Cureus
      diagnostic dilemma, cryotherapy, surgical excision, penile angiokeratoma, fordyce angiokeratoma

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          Abstract

          Angiokeratomas are benign vascular lesions that can occur anywhere in the body. Fordyce angiokeratomas, also known as genital angiokeratomas, often develop on the vulva in women and the scrotum in males. A subtype of genital angiokeratoma in males is called penile angiokeratoma (PEAKER). In females, clitoral angiokeratoma (CLANKER) is the embryologic equivalent. As a result of the underlying pathophysiology, these lesions are often bilateral. Unilateral Fordyce angiokeratoma instances are infrequent, and unilateral PEAKER cases have never been previously documented. We describe a case of Fordyce's unilateral angiokeratoma with unilateral PEAKER. To the best of our knowledge, such a variation in presentation of this rare disease has not been previously reported.

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          Most cited references9

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          Varicocele: current concepts in pathophysiology, diagnosis, and treatment.

          Although significant advances have been made in the understanding of varicoceles, a clear pathophysiologic mechanism remains elusive. Most likely, a varicocele is the result of a multifactorial process. Appreciation of the complex venous drainage of the testis remains a key to maximizing the chances for treatment success. Likewise, the advent of microsurgical repair has minimized complications. Fortunately, times have improved since the early nineteenth century, when the French surgeon Delpech (1772-1832) was killed by a disgruntled patient on whom he had performed a varicocele repair.
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            Angiokeratoma. A clinicopathological study.

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              • Record: found
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              Angiokeratoma of the scrotum (Fordyce type).

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                Author and article information

                Journal
                Cureus
                Cureus
                2168-8184
                Cureus
                Cureus (Palo Alto (CA) )
                2168-8184
                8 September 2022
                September 2022
                : 14
                : 9
                : e28926
                Affiliations
                [1 ] General Surgery, Amrita Institute of Medical Sciences and Hospital, Cochin, IND
                Author notes
                Article
                10.7759/cureus.28926
                9542042
                85f55b1b-f680-4392-8fa2-2a92cda4efd5
                Copyright © 2022, Vinod et al.

                This is an open access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.

                History
                : 8 September 2022
                Categories
                Dermatology
                General Surgery

                diagnostic dilemma,cryotherapy,surgical excision,penile angiokeratoma,fordyce angiokeratoma

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