Patient's question:
I am 30 years old this year. Last week, it seems I had a slight fever, then felt tired and sleepy. When I came home that night, I noticed a red ring on the head of my penis, and there was some bleeding. What does a look like?Doctor's answer:
Your condition is considered to be pearls-like papules. Pearls-like papules require careful differentiation, especially from genital warts. The key points for distinguishing and diagnosing pearls-like papules from genital warts are based on the following: the former is limited to the edge of the glans, with a larger number of lesions, appearing as pearl-like, milky-white papules with smooth surfaces. The lesions do not decrease in size as the course of the disease progresses, and the acetic acid test is negative. In contrast, the latter is not limited to the edge of the glans, often appearing as isolated, larger lesions with rough surfaces, frequently in a cauliflower-like shape. The lesions gradually decrease in size as the course of the disease progresses, the acetic acid test is positive, and histopathological examination reveals keratinizing (cavitated) cells.