Pearl pimples

Introduction

Introduction

Pearl pimples are pale red papules that appear around the glans in the coronal sulcus of the penis.

Pathogen

Cause

Inflammatory reactions such as excessive prepuce, poor local hygiene, long-term stimulation of coronary sulcus secretions and dirt, or other factors such as local redness caused by infection may be the direct cause of the disease.

Examine

an examination

Clinical manifestation

Penile pearly papules are more common in men around 20-30 years old. Damage mainly occurs at the edge of the glans and at the junction of the coronal sulcus and/or at the ligament. The lesions are 1-3 mm in size and are more damaging on both sides of the ligament. The tip of the papule is round and smooth, with individual papules being hairy or filiform. The papules are not mutually fused, and are densely arranged in one or more rows, which are obvious on the dorsal side of the glans and can partially or completely surround the glans. The damage color is mostly pearly white, a few are light red, skin color, and some may have mild redness and swelling. No tenderness, no ulceration, and no symptoms of the patient.

2. Histopathological examination

The histopathological examination of the pearly papules of the penis showed hyperkeratosis, mild and moderate hyperplasia of the epidermis, normal basal layer, slightly hyperplastic and dense collagen fibers in the dermis, and hyperplasia and expansion of the dermal papilla capillaries. The cells are infiltrated and there are no empty cells.

Diagnosis

Differential diagnosis

Crimson papules: Kaposi's sarcoma skin lesions are red, purple, light blue, black, red papules or plaques, gradually enlarged into large plaques, nodules, nodules as hard as rubber.

Maculopapular rash: A reddish chassis around the papule called the maculopapular rash. Various pathogen infections, drug allergies or excessive poisoning, other allergic and allergic diseases, connective tissue diseases, etc. can be seen.

Hemorrhagic papules: papules are localized protrusions that are higher than the skin, as small as needles, as large as soybeans, may be tall or flat, smooth or braided, or have pigments that are the same color as the surrounding skin (more than 1 cm in diameter, called plaque) Block), many skin diseases begin with lesions originating from pimples and should be closely observed and diagnosed.

Miliary papules: can be caused by a variety of causes, is a concomitant symptom of a variety of diseases. It is called white acne or millet rash white moss. A benign mass or a retention cyst that originates in the epidermis of the epidermis or appendage. Can occur at any age, gender, and also in newborns. Mildew rashes caused by trauma often occur after bruising, scratching, or facial inflammatory rash. Common in skin lesions of porphyria or bullous epidermolysis, it can also occur after blisters of blisters, and some patients have genetic factors. Acne is a skin disease that occurs when oily, dead epidermal cells block your pores. Some people call it blackheads, miliary rashes, or pimples. Facial miliary lupus, a round, unbroken pimples scattered around the face, with atrophic scars remaining.

Red or purple, slightly elevated pimples or nodules: skin leukemia damage is red or purple slightly higher papules or nodules. Patients with skin fibrosis may also have papules or nodules that are slightly elevated in red or purple.

Clinical manifestation

Penile pearly papules are more common in men around 20-30 years old. Damage mainly occurs at the edge of the glans and at the junction of the coronal sulcus and/or at the ligament. The lesions are 1-3 mm in size and are more damaging on both sides of the ligament. The tip of the papule is round and smooth, with individual papules being hairy or filiform. The papules are not mutually fused, and are densely arranged in one or more rows, which are obvious on the dorsal side of the glans and can partially or completely surround the glans. The damage color is mostly pearly white, a few are light red, skin color, and some may have mild redness and swelling. No tenderness, no ulceration, and no symptoms of the patient.

2. Histopathological examination

The histopathological examination of the pearly papules of the penis showed hyperkeratosis, mild and moderate hyperplasia of the epidermis, normal basal layer, slightly hyperplastic and dense collagen fibers in the dermis, and hyperplasia and expansion of the dermal papilla capillaries. The cells are infiltrated and there are no empty cells.