Pearly penile papules regress in older patients and with circumcision
ABSTRACT This study assesses the prevalence and correlates of pearly penile papules (PPP) in two non-genitourinary (GU) medicine male cohorts (<25 and >50 years). PPP were categorised in 188 university students (<25 years), based on self-examination, and 70 patients (>50 years), based on clinician examination. PPP were categorised from 1 to 4, based on increasing papule size and distribution. An anonymous questionnaire was used to identify associations with PPP prevalence. The prevalence of PPP was 38.3% in <25 years, and 11.4% in >50 years (P < 0.001). The prevalence of categories 3 and 4 PPP was 8.5% in <25 years, and 1.4% in >50 years (P < 0.05). In the younger age group, the prevalence of PPP was 26.5% in circumcised participants, and 42.4% in uncircumcised participants (P < 0.05), but was unrelated to either frequency of sexual intercourse or time since first sexual intercourse. In conclusion, PPP disappear with age, and any PPP in patients >50 years are less marked than those in patients <25 years. Patients should be advised accordingly. PPP are less prevalent in circumcised men. Patients could be advised to wear the foreskin rolled back - this may maximize exposure of the coronal area to normal abrasion, which may hasten PPP regression.
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ABSTRACT: Pearly penile papules are harmless dermatological condition characterized by small dome-shaped to filiform skin-colored papules located in one to several rows along the sulcus or corona of the glans penis. We describe six male patients with pearly penile papules whose diagnosis was assisted by means of videodermatoscopy. All lesions showed a characteristic whitish pink cobblestone appearance arranged in one or several rows. Each papule contained central dotted or comma-like vessels and was surrounded by crescent-shaped whitish structures. Videodermatoscopy may assist the diagnosis of pearly penile papules and successfully differentiate them from genital warts and molluscum contagiosum.01/2015; 6(1):29-31. DOI:10.7241/ourd.20151.06
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ABSTRACT: A 26‑year‑old sexually active male presented to us with multiple, grouped, mildly itchy, tiny elevated lesions on the penis for 6 months. The lesions were static since their onset, without any increase in size and number. The patient has been married for last 2 years and has been in a monogamous relationship since then. Before presenting to us, the patient was treated for viral warts with topical podophyllin, but the lesions did not resolve. Cutaneous examination revealed small, flesh‑colored, shiny, papules of around 2‑3 mm in diameter on the shaft of the penis [Figure 1]. Inguinal lymph nodes and rest of the muco‑cutaneous and systemic examinations were unremarkable. Complete hemogram and serum biochemistry panel did not reveal any abnormality. Besides, serology for Venereal Disease Research Laboratory (VDRL) and Human Immunodeficiency Virus (HIV) were non‑reactive. The findings of histological examination of a papule are shown in Figures 2a‑b.Indian Journal of Dermatology 05/2015; 60(3):325. DOI:10.4103/0019‑5154.156491
Article: Pearly Penile PapulesThe Journal of pediatrics 04/2014; 165(2). DOI:10.1016/j.jpeds.2014.03.019 · 3.74 Impact Factor