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Papules (penis, Bowenoid papulosis)

Last reviewed dd mmm yyyy. Last edited dd mmm yyyy

Authoring team

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:

  1. Bunker C B. Male genital dermatology. London: Saunders, 2004.
  2. JAAD 1987; 16: 625

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