Pearly penile papules

Pearly penile papulesTilt penile papules are small dome-shaped papules or filiform skin-colored crown ditch located on the glans penis typical. Circumferential lesions are arranged in one or a few lumps. It is transmitted sexually. They are benign and not associated with an infectious etiology.The injuries do not require specific therapy. The patient may want treatment for cosmetic reasons. Cryotherapy and laser ablation are reported as effective.
Pathogenesis and causes
Tilt penile papules are considered a normal variant and does not have any malignant potential. Are not contracted or spread through sexual contact. Lesions are observed more frequently in uncircumcised men, their growth mechanism is still unknown. In the past considered a condition caused by the accumulation of smegma in uncircumcised men, actually proved to be false today.
Signs and symptoms
Because the anatomical distribution condition is described only in men. Those affected are aged between 20-30 years with a gradual decrease with age. Most patients with penile papules tilt to the doctor because they are worried about possible sexual nature of transmission condition. The disease is not transmitted sexually. Papules are often confused with condyloma acuminata, genital warts or molluscum contagiosum less.
Physical ExamOn physical examination, describing single or multiple small papules, white or colored, dome-shaped or filiform circumferential located around the crown of the glans. Lesions are asymptomatic and persist throughout life, however, become less visible over time.
Diagnosis
Histological examination. It demonstrates a number of vessels in the dermis with proliferation ectaziate fibroblasitca. Structures surrounded by concentric fibrosis is a feature annexes. These facts indicate angiofibromul and papules are characteristic tilt.The differential diagnosis is made with the following diseases: molluscum contagiosum, genital warts, ectopic sebaceous glands.
Treatment
Lesions are asymptomatic and require no treatment. Some patients may require treatment regimens to relieve anxiety and discomfort cosmetic. You can opt for laser ablation carbon electrodesicare and curettage and excisional surgery to remove lesions. Podofilina topical application does not work. The condition is associated with personal cleanliness and sexual activity. There are no topical or oral pharmacological therapies to cure the condition.