Oil glands, called sebaceous glands, are usually associated with hair follicles. Fordyce spots appear on your skin where no hair is present. They usually develop as isolated or scattered bumps, but sometimes they cluster together. Fordyce spots tend to be about 1 to 3 millimeters. If they develop in your genital area, they can be a reddish color. Stretching out the surrounding skin makes the spots more visible. Fordyce spots are most likely to form around the outside of your lips or the inside of your lips and cheeks.
They usually appear symmetrically, on both sides of your lips. Fordyce sports are often barely noticeable, but in some cases they can be unsightly. Rarely, spots on your penis might bleed during intercourse. In your genital area, you might mistake Fordyce spots for genital warts or another sexually transmitted disease. Fordyce spots are a natural part of your anatomy. According to a study published in the Clinical Case Reports and Reviews journal, twice as many men as women have Fordyce spots.
Some sources report that individuals with oily skin have an increased incidence of Fordyce spots. A study involving family members found that percent of the participants who had an inherited form of colorectal cancer also had Fordyce spots in their mouth. The authors suggest the presence of Fordyce spots might help doctors identify families who have a greater chance of developing this form of cancer.
The study reports that more research is still needed. Another study published in the Dental Research Journal suggests that large numbers of Fordyce spots in your mouth might be associated with hyperlipidemia.
This condition involves elevated levels of fats in your blood. Fordyce spots are benign. In some cases, though, they might be unsightly. If you notice spots on your genitals, make an appointment with your doctor.
They might be a symptom of an STD rather than Fordyce spots. Your doctor can help rule out, or diagnose and treat, other potential causes of bumps. They might refer you to a specialist for treatment to remove or lessen the appearance of the spots. The most common location for Fordyce spots is at the border of the lips, especially near the corners of the mouth.
Other locations include the back portions of the inner cheeks and inside the mouth, including the tonsils. The head of the penis and inner portion of the foreskin may be affected as well.
Multiple usually less than 10 1—2 mm, painless, yellowish papules are seen. Fordyce spots are normal and non-cancerous benign , but seek medical evaluation if Fordyce spots become itchy or irritated.
No treatment is needed. If irritation is noted, mild topical steroids may provide relief but should be used with caution. They are not related to HIV, herpes, sexually transmitted diseases, genital warts or cancer.
Although Fordyce spots do not need any specific treatment, there are ways you can eliminate them for aesthetic reasons by creams or even having laser surgery. The symptoms of Fordyce spots are the appearance of small yellow or whitish spots, isolated or clustered, in the region of the mouth or genitals. Fordyce granules in the mouth usually appear on the upper lip, inner cheek or gums.
In the genital region, especially in men, the appearance of Fordyce granules in the body of the penis, glans, foreskin or testicles is common. Fordyce granules do not cause pain or irritation, altering only the aesthetics of the region where they arise. In the presence of any of these signs or symptoms, the dermatologist should be consulted to make the diagnosis of the disease and discuss treatment options.
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