Pearly papules of vulva

For most men, cleaning the genitals is neglected. Because the underwear is worn tight, if they do not pay attention to cleaning every day, the penis is not well cared for, and many diseases often occur, such as the phenomenon of penile pearly papules. If you find this situation, you should see a doctor in time and do not ignore it. This symptom is generally more common in adults. The following is a detailed introduction to the symptoms and treatment of penile pearly papules.

1. Pearly rash (Hirsuties papillaris genitalis), also known as penile pearly papules, coronal sulcus or glans papules, some scholars also call it hairy penis or multi-papillary penis. Currently, most scholars believe that this is a normal physiological variation, so it will not affect health and will not be infected or spread through sexual intercourse.

2. The cause and incidence of penile pearly papules are still unclear. Some scholars believe that this disease is a kind of abnormal physiological development. Some scholars believe that it is related to prepuce. Surveys have found that the incidence of penile pearly papules in young men with prepuce is significantly higher than that in men with normal prepuce. Some scholars believe that this disease may be related to HPV infection, but Ferenczy et al. and Zhang Kaijin et al. tested HPV in the lesion tissue and found no HPV. The author observed that the direct cause of this disease may be inflammatory reactions such as local redness and swelling caused by prepuce, poor local hygiene, long-term stimulation of coronal sulcus secretions and dirt, or other factors such as infection. If the patient needs treatment, it can be treated through laser surgery, cryotherapy, and drug therapy.

3.Penile pearly papules are more common in men around 20-30 years old. The damage mainly occurs at the junction of the edge of the glans and the coronal sulcus and/or the frenulum. The damage is a papule of 1-3mm in size, and the damage is larger on both sides of the frenulum. The top of the papule is round and smooth, and some papules are hairy or thread-like. The papules are mostly not fused with each other, and are densely arranged in one or more rows. They are obvious on the dorsal side of the glans and can partially or completely surround the glans. The color of the damage is mostly pearly white, a few are light red or skin-colored, and some may appear mildly red and swollen. There is no tenderness, no rupture, and the patient has no subjective symptoms.

4. The key points of differential diagnosis between penile pearly papules and condylar warts are that in the former, the lesions are limited to the edge of the glans penis, the number of lesions is larger, they are pearly milky white papules with a smooth surface, the lesions do not increase in size as the course of the disease prolongs, and the acetic acid test is negative; while in the latter, the lesions are not limited to the edge of the glans penis, they are mostly single and scattered, the lesions are larger, the surface is not smooth, and they are mostly cauliflower-shaped, they gradually increase in size as the course of the disease prolongs, the acetic acid test is positive, and concave cells are found in histopathological examination.

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