Indian Journal of Dermatology
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Year : 2015  |  Volume : 60  |  Issue : 3  |  Page : 325
Multiple shiny papules on the shaft of the penis

1 Department of Dermatology, Katihar Medical College, Bihar, India
2 Department of Dermatology, Medical College and Hospital, Kolkata, India

Date of Web Publication6-May-2015

Correspondence Address:
Piyush Kumar
Department of Dermatology, Katihar Medical College, Bihar
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Source of Support: None, Conflict of Interest: None

DOI: 10.4103/0019-5154.156491

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How to cite this article:
Kumar P, Das A, Savant SS. Multiple shiny papules on the shaft of the penis. Indian J Dermatol 2015;60:325

How to cite this URL:
Kumar P, Das A, Savant SS. Multiple shiny papules on the shaft of the penis. Indian J Dermatol [serial online] 2015 [cited 2023 Sep 21];60:325. Available from:

A 26-year-old sexually active male presented to us with multiple, grouped, mildly itchy, tiny elevated lesions on the penis for 6 months. The lesions were static since their onset, without any increase in size and number. The patient has been married for last 2 years and has been in a monogamous relationship since then. Before presenting to us, the patient was treated for viral warts with topical podophyllin, but the lesions did not resolve. Cutaneous examination revealed small, flesh-colored, shiny, papules of around 2-3 mm in diameter on the shaft of the penis [Figure 1]. Inguinal lymph nodes and rest of the muco-cutaneous and systemic examinations were unremarkable. Complete hemogram and serum biochemistry panel did not reveal any abnormality. Besides, serology for Venereal Disease Research Laboratory (VDRL) and Human Immunodeficiency Virus (HIV) were non-reactive. The findings of histological examination of a papule are shown in [Figure 2]a-b.
Figure 1: Three shiny papules on the shaft of the penis

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Figure 2: (a) Atrophic epidermis and proliferation of plump fibroblasts around the blood vessels in upper dermis. (H and E ×100). (b) Higher magnification (H and E ×400)

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   References Top

Michaj³owski I, Sobjanek M, Michaj³owski J, W³odarkiewicz A, Matuszewski M. Normal variants in patients consulted in the Dermatology Clinic for lesions of the male external genitalia. Cent European J Urol 2012;65:17-20.  Back to cited text no. 1
Oates JK. Pearly penile papules. Genitourin Med 1997;73:137-8.  Back to cited text no. 2
Fonder MA, Hunter-Yates J, Lawrence WD, Telang GH. Vestibular papillomatosis: A benign condition mimicking genital warts. Cutis 2012;90:300-1.  Back to cited text no. 3
Neri I, Bardazzi F, Raone B, Negosanti M, Patrizi A. Ectopic pearly penile papules: A paediatric case. Genitourin Med 1997;73:136.  Back to cited text no. 4
O'Neil CA, Hansen RC. Pearly penile papules on the shaft. Arch Dermatol 1995;131:491-2.  Back to cited text no. 5
Sonnex C, Dockerty WG. Pearly penile papules: A common cause of concern. Int J STD AIDS 1999;10:726-7.  Back to cited text no. 6
Agha K, Alderson S, Samraj S, Cottam A, Merry C, Lee V, et al. Pearly penile papules regress in older patients and with circumcision. Int J STD AIDS 2009;20:768-70.  Back to cited text no. 7
Ferenczy A, Richart RM, Wright TC. Pearly penile papules: Absence of human papillomavirus DNA by the polymerase chain reaction. Obstet Gynecol 1991;78:118-22.  Back to cited text no. 8
Agrawal SK, Bhattacharya SN, Singh N. Pearly penile papules: A review. Int J Dermatol 2004;43:199-201.  Back to cited text no. 9
Sanchez NP, Wick MR, Perry HO. Adenoma sebaceum of Pringle: A clinicopathologic review, with a discussion of related pathologic entities. J Cutan Pathol 1981;8:395-403.  Back to cited text no. 10
Porter WM, Bunker CB. Treatment of pearly penile papules with cryotherapy. Br J Dermatol 2000;142:847-8.  Back to cited text no. 11
Sapra P, Sapra S, Singh A. Pearly penile papules: Effective therapy with pulsed dye laser. JAMA Dermatol 2013;149:748-50.  Back to cited text no. 12


  [Figure 1], [Figure 2]


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