Fordyce spots - Oral Mucosal Lesion
The tiny papules can appear at any point in life but the incidence of appearance increases with age, probably associated with hormonal influences, with the highest prevalence in older patients. Puberty is associated with the appearance of these lesions, as expected.
The lesions are asymptomatic. They can be present for years and the patient is usually unaware of their presence.
– Normal Condition -- no billing code
50584008 – Fordyce spots
- Sebaceous hyperplasia is essentially hyperplasia of one of the Fordyce granules 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 mouth and posterior lateral tongue, not the usual sites for Fordyce granules.
- 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.