“…6 The primary cause of the development of AKs in FD is the lysosomal storage of Gb3 in cutaneous endothelial cells with consequent weakness of the capillary wall and secondary ectasia. 28 Isolated AKs are often mistaken for verruca vulgaris, hemangiomas, thrombosed capillary aneurysms, Spitz nevi, eruptive angiomas, pyogenic granulomas, and other cutaneous entities. We also must differentiate them from other types of AKs such as solitary AKs, Fordyce AKs, AKs circumscriptum naeviforme, and AKs of Mibelli.…”