History: First descibed by John Addison Fordyce in 1896, angiokeratomas of the scrotum appear as multiple, black, blue, or dark red, dome-shaped 1-6 mm papules with slight superficial scale.  Although scrotum is the commonest site affected, lesions have been reported on the labia majora, shaft of the penis, inner thigh, and lower abdomen. The condition is usually prevalent in middle aged and elderly people.  The most troublesome lesions may be treated with laser ablation, cryotherapy, electrocautery, or sugical excision.