An Extreme Case of Fordyce Angiokeratoma.

Angiokeratomas are benign vascular ectasias that can present with bleeding or cosmetic concerns. We present an extreme case of Fordyce angiokeratoma. Usual treatment modalities, including medical management with analgesics and angiotensin-converting enzyme inhibitors, as well as laser treatments, were not viable options in this unique case. Surgical excision with autografting offered a curative treatment option in this case.