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Image Challenge

 What is the diagnosis?
 You be the doctor.  This 32 year old man wonders about the raised spots on his testicles.  They are non-tender and non itchy.  (click on the image for a close-up view)

1. Beta-galactosidase deficiency
2. Fordyce's angiokeratomas
3. Radiation dermatitis
4. Scabes
5. Varicocele

The answer will be posted tomorrow so be sure to check back.  Make your guess in the comments section.  The winner gets bragging rights.


Varicocele - compression of the left renal vein by the superior mesenteric artery which leads to back up of the left testicular vein.

Varicocele - compression of the left renal vein by the superior mesenteric artery which leads to back up of the left testicular vein.

TLA said…
Varicocele is my guess. Kind of a scarey picture.
Fordyce's angiokeratomas
DrPaula said…
Fordyce's angiokeratomas. This can occur on the labia. Have seen this in pregnancy.

There is increased venous pressure so it could probably occur with a varicocele.
Jonus Fox said…
OK, first, I opened this link while sitting in a public airport (not knowing what it was) and of course some older lady was walking by and gave me quite a any case, I am going with the consensus here of varicocele.

Thanks for the challenge doc, now can you help me explain to that nice older lady what is really going on with me?
Toni Brayer, MD said…
M Scott: I guess I should have posted "NSFW" (not suitable for work) or "NSFA" (Not suitable for airport). At least you gave that passenger something to think about. hahaha

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