“…[ 1 ] Angiokeratoma of Fordyce or genital angiokeratoma consists of vascular lesions occurring mostly on the scrotum or vulva and rarely on the glans penis or penile shaft. [ 2 ] The term PEAKER was introduced by Basu and Cohen and includes lesions over the glans penis, penile shaft, and foreskin. [ 1 3 ] However, angiokeratoma lesions over the bathing trunk region including the penis in Fabry disease are not included under the ambit of the term.…”