Generic selectors
Exact matches only
Search in title
Search in content
Post Type Selectors
Filter by Categories
Brief Report
Case Report
Editorial
Focus
Images/Instrument in Dermatology/Dermatosurgery
Letter to the Editor
Living Legends
Looking back in history
Original Article
Perspective
Resident Forum
Residents Forum
Review Article
Spot the Diagnosis
Tropical Dermatology
Visual Treats in Dermatology
View/Download PDF

Translate this page into:

Visual Treats in Dermatology
2022
:2;
62
doi:
10.25259/CSDM_66_2022

Dermoscopy of pearly penile papules

Department of Dermatology, Government Medical College, Patiala, Punjab, India
Corresponding author: Sharang Gupta, Department of Dermatology, Government Medical College, Patiala, Punjab, India. drsharanggupta97@gmail.com
Licence
This is an open-access article distributed under the terms of the Creative Commons Attribution-Non Commercial-Share Alike 4.0 License, which allows others to remix, transform, and build upon the work non-commercially, as long as the author is credited and the new creations are licensed under the identical terms.

How to cite this article: Gupta S, Chopra D. Dermoscopy of pearly penile papules. CosmoDerma 2022;2:62.

A 32-year-old male presented to the dermatology OPD with chief complaints of multiple, asymptomatic papules on his glans. On examination, he was found to have multiple, pink to white, 1–2 mm in size, smooth, dome-shaped papules arranged in multiple rows along the corona of the glans penis. Dermoscopic examination revealed multiple, whitish-pink papules arranged in a cobblestone manner in multiple rows with each papule containing a central dotted or comma-shaped vessel (Heine Delta 20T dermatoscope, contact mode, non-polarized, ×10) [Figure 1].

Figure 1:: Dermoscopic examination showing multiple whitish-pink papules arranged in multiple rows along the corona of the glans penis with a central dotted or comma-shaped vessel within each papule (Heine Delta 20T dermatoscope, contact mode, non-polarized, ×10).

Pearly penile papules are benign lesions of the glans penis that are commonly mistaken for sexually transmitted infections. They usually present as white to pink, dome shaped, or filiform papules that orient themselves in rows around the corona of the glans penis. They need to be differentiated from Tyson’s glands, condyloma acuminata, and molluscum contagiosum. On dermoscopy, pearly penile papules appear as white to pink papules arranged in a grape like or cobblestone pattern and each papule has a central dotted or comma-shaped vessel within it. The main dermoscopic differential for pearly penile papules is viral warts, which on dermoscopy show irregular vascular system with multiple red or black dots signifying intravascular clots as well as multiple punctate dotted vessels and bigger vessels in the form of red globules. Other conditions that need to be differentiated on dermoscopy include molluscum contagiosum, ectopic sebaceous glands, and, rarely, lichen nitidus.[1]

Declaration of patient consent

Patient’s consent not required as patient’s identity is not disclosed or compromised.

Financial support and sponsorship

Nil.

Conflicts of interest

There are no conflicts of interest.

References

  1. , , . Diagnosis and management of pearly penile papules. Am J Mens Health. 2018;12:624-7.
    [CrossRef] [PubMed] [Google Scholar]

Fulltext Views
319

PDF downloads
9
View/Download PDF
Download Citations
BibTeX
RIS
Show Sections