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Dermatology/red bumps on my testicals

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Question
Hello,  

I am a healthy 28yr old man, I have noticed a couple red bumps on my testicles that have remained present for the last 3 months.  These red bumps do not hurt, do not itch, and have had no change in appearance. I have popped a couple of them and they bleed like crazy. They only bleed, there is no other fluid that comes out of them.  Sexual history: The last time I had sex was in April, these dots showed up in early July and it is now the first week of October. I was worried they could be an STD such as Herpes. Although from my readings it sounds like Herpes would come in clusters and wouldn't have lasted this long with out them bursting, correct?

Answer
Angiokeratomas are small dark red to purple raised spots. They may also have a rough scaly surface. They are composed of surface blood vessels (dilated capillaries). Often unnoticed, they may become crusty and bleed if accidentally scratched or damaged, or a harmless clot may form in the lesion (thrombosis), changing the colour to dark purple or black overnight.
There are several types of angiokeratomas:
Sporadic angiokeratoma
Angiokeratoma of Fordyce
Angiokeratoma circumscriptum
Fabry syndrome (angiokeratoma corporis diffusum)

Angiokeratomas are harmless surface vascular lesions that can usually be left alone. As the black spots sometimes resemble melanoma, a skin biopsy may be performed to rule out malignancy and allay any fears.

If bleeding becomes a concern or treatment is requested for cosmetic purposes, they can be removed. Surgical options include excision, laser therapy, cryotherapy or electrocautery.

Dermatology

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Michael S. Fisher, <B>Ph.D., M.D.</B>

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