ABSTRACT

Fordyce's spots (FS) are ectopic visible sebaceous glands that may be located either on the genitalia, the lips or the oral mucosa. Incidence of FS increases with age, being higher in adults than in children. They are present in about one-third of adult men. The prevalence in females is unknown. The onset is typically after puberty and they may be a matter of concern for patients, especially when multiple lesions are present. FS appear at dermoscopy as yellowish lobules surrounded by a fine vascular network. Sometimes, a typical vascular garland-like aspect, whose bows seem to wind around yellowish bunch-like lobules without crossing them, is evident. The yellowish lobules seen at dermoscopy histopathologically correlate with the sebaceous lobules located in the dermis and/or hypodermis.