Multiple Shiny Papules on the Shaft of the Penis.

Abstract

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 Disease Research Laboratory (VDRL) and Human 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 penisFigure 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 Immunodeficiency Virus (HIV) were non‑reactive. The findings of histological examination of a papule are shown in Figures 2a‑b.