Pearly Penile Papules
A healthy 15-year-old boy presented to the dermatology clinic with a 3-month history of asymptomatic papules on his glans penis. The patient was not sexually active. Physical examination showed Tanner stage 4 uncircumcised male genitalia with dome-shaped, translucent papules measuring 1 to 2 mm in diameter in rows along the corona of the glans penis. There was no ulceration or inguinal lymphadenopathy. A clinical diagnosis of pearly penile papules was made. Pearly penile papules are a normal anatomical variant that appears during adolescence or early adulthood. Lesions may be misdiagnosed as sexually transmitted infections, such as condyloma acuminatum or molluscum contagiosum, causing unnecessary psychological distress. Given the benign nature of the lesions, the patient was offered reassurance, and no treatment was recommended.