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A giant angiokeratoma of Fordyce: an uncommon cause of acute scrotum
  1. Sofia Ribeiro1,
  2. Sofia Ferreira1,
  3. Manuel Castanheira de Oliveira2
  1. 1Department of Medicine, CHP, Porto, Portugal
  2. 2Department of Urology, CHP, Porto, Portugal
  1. Correspondence to Dr Sofia Ribeiro, sofiaribei{at}

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A 34-year-old man presented to the emergency department with intense, sudden and persistent scrotal pain, worsened by the orthostatic position. He denied other accompanying symptoms such as bleeding or history of recent trauma. He referred an asymptomatic congenital angioma of the scrotum and denied any other medical history. Physical examination revealed an extensive red-to-reddish blue papules in the right hemiscrotum, with numerous dark red petechiae (figure 1). It was painful on palpation. Ultrasound revealed a general skin and subcutaneous tissue thickening with …

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