Papules (penis, Bowenoid papulosis)
Features:
- men - red-brown papules on the shaft of the penis and the glans
- women - red-brown papules on the labia majora, labia minora and perianal area
- lesions are less papillomatous, smoother topped, more polymorphic and more coalescent than common genital viral condylomata acuminata
- lesions show histological features of Bowen's disease
- Bowenoid papulosis possibly has less malignant potential than other manifestations of intraepithelial neoplasia
- however it is associated with local human papillomavirus (HPV) infection and systemic disease, particularly HIV
- HPV16 is found in a significant percentage of cases of Bowenoid papulosis
Treatment:
- sexual partners should be examined
- treatment options include cryotherapy, electrocautery, simple shave or scissor excision
Click here for an example image of this condition
Reference:
- Bunker C B. Male genital dermatology. London: Saunders, 2004.
- JAAD 1987; 16: 625
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