“…Angiokeratoma, a provisionally unclassified vascular anomaly in the ISSVA classification, 5 is characterized by aggregates of hyperkeratotic erythematous papules and nodules that may coalesce to form verrucous plaques. 55 Therapeutic options for angiokeratoma include carbon dioxide laser, Nd:YAG laser, electrocoagulation, cryotherapy, or excision. 56 Laser therapy may be suitable for multiple lesions, but in cases with recurrent bleeding from angiokeratoma, electrocoagulation using electrocautery with a fine-tipped needle can be effective for stopping bleeding from underlying vascular lesions that heal with minimal scarring (Fig.…”