![]() ![]() PPP were diagnosed in 96 from 400 patients examined, which accounted for 24% of the total number of patients. Multiple pearly penile papules on the coronal margin of the glans. ![]() The incidence of other normal variations like skin tags, hyperpigmentation of the median raphe of the penis and scrotum, penile angiomas, and angiokeratomas were significantly lower. In the past, 5 patients with diagnosed PPP, from the group of 25 patients, underwent treatment for genital warts. No patient from this group insisted on having these lesions removed. The average age of these patients with PPP was 21.4 (from 16 to 30 years of age). Among these patients, the most frequent reasons for the dermatologic consultation were pearly penile papules, diagnosed in 78.1%. In 32 patients, who accounted for 8% of all examined patients, the presence of solely “non- pathological” lesions was the reason for the referral. Other ”non-pathological” lesions were diagnosed in a considerably smaller group of patients. Skin tags occurred in lower number of patients (7%), and were mainly localized on the scrotum, and more rarely on the penile body. Melanocytic nevi were equally often diagnosed (9.5%), whereas in the dermatoscopic examination, no patient was found to have atypical nevi. Sebaceous hyperplasia or ectopic sebaceous glands were diagnosed in 9% of the patients. Hyperpigmentation of the median raphe of the penis and scrotum was found to be the most common normal variation in the analyzed group of patients (86.5%), the next most common variation being pearly penile papules (PPP) and prominent veins, (both 24%). ![]()
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