Several small red dots are present at the coronal hook area of the occipital region, with no sensation. What could be the cause?

Patient's question:

There are several small red dots at the coronal hook area, like round pearls, as big as a needle tip. There's no sensation, and there used to be one or two, now there are five or six. They don't increase or get bigger. What could be the cause? Is it due to uncleanliness?

Doctor's answer:

Coronary groove pearl papules refer to macules that are commonly found near the coronal sulcus, a papular dermatosis that occurs in the male coronal sulcus. In daily life, many people mistake coronary groove pearl papules for sexually transmitted diseases. This condition is more common after adolescence, presenting as small papules that are white, skin-colored, or pale red, arranged in one or several rows along the coronal sulcus, ranging in size from a needle tip to a millet grain, with a pearl-like appearance, smooth surfaces, and no fusion with each other. Coronary groove pearl papules generally do not cause itching, pain, or other subjective symptoms, and the size of the papules remains unchanged.

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