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Infectious Skin Diseases
Published in Aimilios Lallas, Zoe Apalla, Elizabeth Lazaridou, Dimitrios Ioannides, Theodosia Gkentsidi, Christina Fotiadou, Theocharis-Nektarios Kirtsios, Eirini Kyrmanidou, Konstantinos Lallas, Chryssoula Papageorgiou, Dermatoscopy A–Z, 2019
Aimilios Lallas, Zoe Apalla, Elizabeth Lazaridou, Dimitrios Ioannides, Theodosia Gkentsidi, Christina Fotiadou, Theocharis-Nektarios Kirtsios, Eirini Kyrmanidou, Konstantinos Lallas, Chryssoula Papageorgiou
The diagnosis of anogenital warts does not usually pose significant difficulties and can be easily established from a clinical point of view. However, sometimes, the diagnosis may be confusing due to normal anatomical structures of the genital area, such as the pearly penile papules and Fordyce papules. Moreover, the differential diagnosis should include other dermatoses that affect the area and are morphologically similar to anogenital warts, such as lichen planus and MC. In such cases, dermatoscopy highlights the cauliflower appearance of the anogenital warts, as well as the characteristic white halos surrounding dotted and/or hairpin vessels, facilitating their diagnosis (Figures 7.17 through 7.19).
Miscellaneous conditions affecting the genitalia
Published in Shiv Shanker Pareek, The Pictorial Atlas of Common Genito-Urinary Medicine, 2018
Pearly penile papules are multiple tiny filiform papules that occur at the junction between the glans and the coronal sulcus of the penis. The papules or spots are acral angiofibromas. They are common in males and variants may resemble genital warts. Pearly penile papules are not contagious and cannot be transmitted during sexual contact.
Benign lesions
Published in Richard P. Usatine, Daniel L. Stulberg, Graham B. Colver, Cutaneous Cryosurgery, 2014
Richard P. Usatine, Daniel L. Stulberg, Graham B. Colver
Pearly penile papules are symptomless, dome-shaped, flesh-colored papules occurring after puberty on the corona and sulcus of the glans penis (Figure 8.24). They are acral angiofibromas, which are often misdiagnosed as viral warts or sebaceous hyperplasia. They do not tend to disappear spontaneously. Various methods have been used and pulsed dye laser has its advocates but cryosurgery is quick and effective. Two cycles of 10 s with a fine liquid nitrogen spray is very effective and causes little morbidity.25
Topical anesthetics for pediatric laser treatment
Published in Journal of Cosmetic and Laser Therapy, 2019
Marija Stevic, Ana Vlajkovic, Branislav Trifunovic, Ivan Rakic, Nina Ristic, Ivana Budic, Vesna Marjanovic, Marija Jovanovski-Srceva, Dusica Simic
The carbon-dioxide laser emits light at wavelength of 10,600 nm in the far-infrared spectrum (23). The active laser medium is a mixture of three different gases consisting of 10% carbon dioxide, 10–20% nitrogen, and the remainder is helium. The working principle is based on making microscopic areas of thermal damage that stimulate collagen production and replace damaged skin surface by new epidermal cells. Carbon-dioxide has proved moderately useful in the treatment of keloids, moles, acne scarring, viral warts, rhinophyma, actinic keratosis, stretch marks, and pearly penile papules. Adverse effects and complications associated with CO2 laser resurfacing include prolonged erythema, acne or milia formation, wound infections, post-inflammatory hyperpigmentation, delayed hypopigmentation, herpes simplex virus reactivation, hypertrophic scarring, and ectropion formation (2).
CO2 laser treatment for pearly penile papules – personal experience
Published in Journal of Cosmetic and Laser Therapy, 2019
Anna Deda, Aleksandra Lipka-Trawińska, Sławomir Wilczyński, Barbara Błońska-Fajfrowska
Pearly penile papules (PPP) are physiological lesions in the epithelium of the corona of the glans penis which extend to its neck. These lesions may also appear on both sides of the frenulum. They rarely appear on the penile shaft (1–6). The clinical picture is dominated by numerous small, 0.5–2-millimeter, dome-shaped, pearly white or pink–white papules which are located around the corona of the glans penis. They frequently occur in two or three rows around the corona of the glans penis and the frenulum (Figure 1–2). The lesions can assume the form of granules or flaccid flakes (Figure 3). The papules are not painful, nor do they give any other symptoms (1–6).