Fordyce spots are common, small, and typically harmless bumps found on various body parts. They are a normal anatomical variation, generally benign, and do not indicate a health problem.
Understanding Fordyce Spots
Fordyce spots are enlarged sebaceous glands, which are oil-producing glands found in the skin. Unlike typical sebaceous glands that open into hair follicles, Fordyce spots appear in hairless areas and open directly onto the skin’s surface. They are a common anatomical variation, present from birth but often becoming more noticeable during puberty due to hormonal changes. Around 70% to 80% of adults have these spots.
These spots are small, slightly raised bumps, typically 1 to 3 millimeters in diameter. Their color can vary, appearing white, yellowish, pale red, or flesh-colored. Common locations include the vermilion border of the lips, inside the cheeks, and genital areas like the penis, scrotum, or labia. They can appear individually, in small groups, or in clusters of 50 or more. Fordyce spots are not contagious and are not associated with any disease or infection.
Addressing the Burning Sensation
Fordyce spots do not typically cause sensations like burning, itching, or pain. If a burning sensation occurs where spots are present, it is generally due to other factors or coexisting conditions. Irritation of the surrounding skin, for instance, can cause a burning feeling, stemming from friction, excessive dryness, or harsh topical products.
A burning sensation could also indicate another skin condition in the same area. Conditions like eczema, contact dermatitis, or fungal infections can cause redness, itching, and burning that might be mistakenly attributed to Fordyce spots. Viral infections, such as herpes, cause painful blisters and sores and can also present with tingling or burning sensations. Psychological factors, like heightened awareness or anxiety, can sometimes lead to a perceived sensation. The burning might also stem from an unrelated issue, such as nerve irritation, even without visible skin changes.
When to Seek Medical Advice
While Fordyce spots are harmless, a persistent burning sensation or other concerning symptoms warrant medical evaluation. Consult a healthcare professional if the burning sensation is persistent, worsens, or is accompanied by other signs. These additional symptoms include persistent itching or pain, which are not typical of Fordyce spots.
Other red flags include redness, swelling, discharge, or open sores. Any noticeable changes in the spots’ appearance, such as rapid growth, color changes, or bleeding, should also prompt a doctor’s visit. New lesions or a spread of symptoms beyond the initial area are also reasons to seek professional advice. A doctor can accurately diagnose the cause of the burning sensation, rule out other skin conditions, and recommend appropriate management.