What are Fordyce spots?
Fordyce spots are small (1-5mm), slightly elevated yellowish or white papules or spots that can appear on the glans or shaft of the penis, labia of the female, inside of the cheeks and on the lips. Fordyce spots are a variant of sebaceous glands (the glands that normally produce sebum and are usually found within hair follicles). Fordyce spots are sebaceous glands without hair follicles. They are present in 80-95% of adults. They are probably present at birth but become bigger and more visible from about puberty onwards. They may occur as a solitary lesion or more frequently in crops of about 50-100.
Sometimes Fordyce spots cause anxiety but they are completely harmless whether on the lips or on the genitals. They are not a sexually transmitted disease and they are not infectious.
What work-up is required?
The importance of recognising these papules as Fordyce spots is in the differential diagnosis of other conditions that may appear similar. Some sexually transmitted diseases (STDs) may start off looking like Fordyce spots on the genitals so it is essential to get a proper diagnosis from your doctor. STDs need to be treated appropriately with medication.
What is the treatment for Fordyce spots?
Fordyce spots are generally harmless and do not require any treatment. Avoid picking or squeezing the spots.
Fordyce spots on the lips can be a cause of cosmetic concern for some patients. Electrodessication or vaporising laser treatment has been used successfully to remove spots.
- Book: Textbook of Dermatology. Ed Rook A, Wilkinson DS, Ebling FJB, Champion RH, Burton JL. Fourth edition. Blackwell Scientific Publications.
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