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Fordyce spots on scrotum Fordyce spots on lips. On the shaft of the penis, Fordyce spots are more visible when the skin is stretched, and may only be noticeable during an erection. [8] The spots can also appear on the skin of the scrotum. [8] Oral Fordyce granules appear as rice-like granules, white or yellow-white in color.
Smokeless tobacco keratosis (STK) [4] is a condition which develops on the oral mucosa (the lining of the mouth) in response to smokeless tobacco use. Generally it appears as a white patch, located at the point where the tobacco is held in the mouth. The condition usually disappears once the tobacco habit is stopped.
Actinic cheilitis is cheilitis (lip inflammation) caused by long term sunlight exposure. Essentially it is a burn , [ 2 ] and a variant of actinic keratosis which occurs on the lip. [ 5 ] It is a premalignant condition , [ 6 ] as it can develop into squamous cell carcinoma (a type of mouth cancer ).
Perioral dermatitis is a rash typically around the mouth, that spares the vermilion border. [10] Cheilitis glandularis may present with a burning sensation over the vermilion border. This chronic progressive condition is associated with thinning of the skin of the lips and ulceration. [11]
Fordyce spots, or Fordyce granules, are ectopic sebaceous glands found on the genitals and oral mucosa. They show themselves as yellowish-white milia (milk spots). [29] Earwax is partly composed of sebum produced by glands in the ear canal. These secretions are viscous and have a high lipid content, which provides good lubrication. [30]
A similar, but more pronounced palatal keratosis occurs with reverse smoking. This is where the lit end of the cigar or cigarette is held in the mouth, another form of smoking associated with high levels of heat in the mouth. [6] This form of the condition is sometimes termed "reverse smoker's keratosis", [9] and is a premalignant lesion.
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White patches which have been present for a long period of time have a higher risk. [3] Persons with a positive family history of cancer in the mouth. [3] Candida infection in the presence of dysplasia has a small increased risk. [3] A change in the appearance of the white patch, apart from a change in the color, has a higher risk. [3]