When it comes to tiny scrotum blood blisters, your first thought might be venereal disease. However, Fabry’s disease should be another likely possibility that concerns you too since skin lesions are one of its typical signs and symptoms. While Angiokeratoma of Fordyce itself is not a life-threatening condition, its psychological impact and complications require more attention from you. After all, courage is needed to reveal this skin problem to others, including the doctors.
Fabry disease is a genetic disease caused by the mutations in the GLA gene. Mainly because of the error found on the (α-GAL) gene, the non-metabolizable lipid accumulates in the lysosome of cells, which thus leads to the lesion to heart, kidney, blood vessel of brain, and nerve.
A (α-GAL) gene is localized to the long arm of the X chromosome (locus Xq22.1). For that reason, men tend to suffer more than women. In the United States alone, about one in a million men suffer from this disease. Clinical symptoms usually begin in childhood and adolescence. The typical signs and symptoms include intermittent pain in the extremities and dark red spots on the skin that are mostly found in the lower abdomen and between thighs. As the patients grow to adult hood, the main life-threatening causes for them include progressive renal, cardiovascular and cerebrovascular diseases. So, once dark blood blisters on scrotum are found on the scrotum or vulva, you should see a doctor immediately to make sure if it is Fabry disease or sexually transmitted disease.
As mentioned above, angiokeratomas refer to a type of dark, red papules ranging in size from a few millimeters to a needle, mostly located in the lower abdomen, navel, buttocks, scrotum, external genitalia, thigh, or possibly conjunctiva, oral cavity and other area of a person’s mucosal surfaces. Usually the attack rate increases with age but not necessarily.
If blood blisters occur in the vulva or scrotum, it is often known as scrotal angiokeratoma (Fordyce type). As you can see now, it is a benign cutaneous lesion of capillaries in the genital area. It is named so in honor of John Addison Fordyce, who first described in 1896.
Angiokeratoma of Fordyce is often confused with a skin condition called Fordyce’s spots. Although the latter is sometimes referred to as the former, they are actually not the same thing. If you scrutinize and compare them carefully, you will find that the latter’s papules on the scrotum or vulva are red to blue while the former is characterized by hyperkeratosis.
Angiokeratoma corporis diffusum itself is not a difficult condition to treat. However, many people will think that it is one of STDs and infections, which should to be ashamed of. As you know, it’s difficult to be open when being intimate at first, especially when you are suffering from scrotum blood blisters. Your sexual performance will still be influenced even though you know it is generally harmless. This embarrassment tends to discourage your from getting proper treatment from the doctor.
While angiokeratoma is considered benign, its complications should be treated seriously. The most common complication is necrotic tissue caused by nodular angiokeratomas. What’s worse, this complication leads to valleys that offer shelter and protection to infections of virus, bacteria, and fungi. So, talk to your doctor immediately once the lesion starts to deteriorate.
Angiokeratomas can cause vascular lesions and influence a person’s appearance. Argon laser photocoagulation can help in this case. But it may still come back. Currently, when it comes to how to get rid of blood blisters on scrotum, the more recognized solutions are Q-switched Nd: YAG laser (532 nm), conventional pulsed dye laser (585 nm), and so on. Compared with the traditional methods of treatment, cosmetic laser has developed quickly in recent years thanks to its high efficiency, easy acceptance, and less side effects and pain. Unfortunately, the higher price is its major drawback.