*Common skin condition which affects the genital area, lips and mouth
*Caused when sebaceous glands form without an associated hair follicle
*Consists of small elevated papules or flat spots which are yellow-white in color
Fordyce spots are a common skin condition which typically affects the genital area (glans and shaft of the penis for men, labia for women), mouth, and lips. The condition consists of small elevated papules or flat spots which are yellow or white in color. Lesions are sometimes present at birth and grow larger as the affected person ages, especially during puberty. Lesions may be solitary, but they most often appear in groups and are asymptomatic.
Fordyce spots occur when sebaceous glands in the affected area form without an associated hair follicle. The exact reason for this is unknown, but the condition cannot be transmitted sexually.
Differential Diagnosis (Other conditions with similar appearance)
Basal cell carcinoma
Multiple Endocrine Neoplasia Type 1
Cowden Disease (Multiple hamartoma syndrome)
Fibrous papule of the Face
Follicular Infundibulum Tumor
*Initial diagnosis based on the characteristic appearance of the affected area
*Biopsy may be required to rule out similar appearing conditions
Fordyce spots are initially diagnosed based on the characteristic appearance of the affected area. As the condition can resemble other disorders, especially certain sexually transmitted diseases, other tests may be required to rule these disorders out.
*Condition is benign and does not require treatment
*Attempt to avoid scratching or putting pressure on lesions
*If requested for cosmetic reasons, lesions may be removed
The presence of Fordyce spots is a benign condition and therefore does not typically require treatment, though health care professionals may recommend affected persons avoid injuring lesions through scratching or pressure to avoid damage. If requested for cosmetic reasons, lesions may be removed via electrodessication or laser therapy.