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Pearly penile papules

Pearly penile papules are benign, small bumps or spots on the human penis. They vary in size from 0.5-1 mm, are pearly or flesh-colored, smooth and dome-topped or filiform, and appear in one or, several rows around the corona, the ridge of the head of the penis and sometimes on the penile shaft. They are painless, non-cancerous and not harmful. The medical condition of having such papules is called hirsutoid papillomatosis or hirsuties papillaris coronae glandis.

Cause and mechanism
PPPs are a type of angiofibroma. They are usually considered as vestigial remnants of penile spines, sensitive features found in the same location in other primates. They do not spread and often spontaneously regress. Along with Fordyce glands, PPPs secrete oils to keep the skin of the head of the penis in good condition. Smegma can accumulate if these oils are produced in excess or there is inadequate washing under the foreskin. ==Diagnosis==
Diagnosis
Diagnosis is by visualisation. They can also appear similar to molluscum contagiosum, sebaceous hyperplasia and lichen nitidus. Histopathology shows dense connective tissue, fibroblasts and many blood vessels. == Treatment ==
Treatment
Generally, reassurance is given and no treatment is needed. Laser or cryotherapy may be considered for men who find PPPs distressing to look at or feel excessive embarrassment. ==Epidemiology==
Epidemiology
PPPs are common and occur in 14% to 48% of young males. == Social and cultural ==
Social and cultural
Some men find PPPs distressing to look at, owing to their resemblance to some sexually transmitted infections. Although it is not related to any disease, PPPs are occasionally mistaken for HPV warts. There are also home remedies for "curing" it, despite the fact that the papules are neither infectious nor detrimental to one's health. == References ==
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