Fordyce spots are ectopic sebaceous glands, and are seen primarily on the labia minora and the shaft of the penis. They are large sebaceous glands seen through mucosal skin. Their appearance is that of small yellow spots.
Angiokeratomas are more common in older people, and are tiny clusters of dilated blood vessels associated with keratinised tissue. They may be bright red, and will often darken to black with time. They are mainly seen on the scrotal skin in men and the labia majora in women.
Vestibular papillomas are finger-like protrusions of the modified mucous membrane of the introitus and medial labia minora, and are sometimes mistaken for soft warts. Extensive studies of many individuals have not demonstrated the presence of HPV, and they are asymptomatic, requiring no treatment.
Pearly penile papules are common dome-shaped papules that occur in rows around the coronal edge. They are more common in uncircumcised men, and their uniform, smooth appearance and arrangement in rows distinguish them from warts.
THE SKIN AND THE LYMPHATIC SYSTEM 57
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