Fordyce spots - Oral Mucosal Lesion
The likelihood of developing Fordyce spots increases with age; however, these small papules can be seen in patients of any age. Their development can be associated with hormonal changes, and puberty can bring about their onset.
L73.9 – Follicular disorder, unspecified
Q38.6 – Other congenital malformations of mouth
50584008 – Fordyce's disease
- Sebaceous hyperplasia is another condition due to a proliferation of sebaceous glands and appears as a larger papule or plaque.
- Lipomas are generally larger, exophytic, unilateral, and soft in texture.
- Oral lymphoepithelial cysts are usually solitary, exophytic, unilateral, and larger. They occur in the floor of the mouth and posterior lateral tongue, not the usual sites for Fordyce spots.
- Granular cell tumors are solitary, larger, firm in consistency, and are usually within the substance of the tongue.
- Candidal plaques have an acute onset, a "stuck-on" appearance, and are not found within the mucosa.
- Small fibromas and areas of scarring have an indurated texture.
- Lichen planus of the oral mucosa can present with lacy white reticulated plaques.