Symptoms of pearl rash

summary

Pearl eruption, also known as pearl shaped penis papule, coronal groove or glans papule, also known as hairy penis or multi papillary penis. Penile pearly papules are more common in men aged 20-30. At present, most scholars believe that this is a normal physiological variation, which belongs to a benign disease. Some people can subside after a certain period of time, and some people can remain unchanged for decades. Pearl rash symptoms? Let's talk about it

Symptoms of pearl rash

The lesions were small white, complexion or reddish papules, with a single diameter of 1-3mm, translucent, small pearl like, smooth surface. It can be in the shape of several small beads with a large needle tip. It can also be filiform or sharp hairy. The rashes do not fuse with each other. They are arranged in one or several lines along the coronal groove of the posterior margin of the glans, and can partially or completely surround the glans. It is more common in young adults aged 20-50. There was no conscious symptom.

The top of the papule is round and smooth, and a few papules are hairy or filiform. Most of the papules do not fuse with each other, and most of them are densely arranged in one or more lines, which are obvious on the dorsal side of the glans and can partially or completely surround the glans. Most of the lesions were pearly white, a few were light red and skin color, and some of them were slightly red and swollen. No tenderness, no ulceration, and no conscious symptoms.

The main point of differential diagnosis between penile pearl papule and condyloma acuminatum is that the damage of the former is limited to the edge of the glans, the number of damage is large, the surface is smooth, the damage does not increase with the course of disease, and the acetic acid test is negative; The latter damage is not limited to the edge of the glans, more single scattered, large damage, the surface is not smooth, and more cauliflower like, gradually increased with the extension of the course of disease, acetic acid test positive, histopathological examination showed concave empty cells.

matters needing attention

Laser treatment is a kind of high temperature treatment, the temperature can reach more than 700 ℃. After the scab fell off, the wound was covered with new squamous epithelium. In the treatment of pearl rash, carbon dioxide laser with wavelength of 10.6 is generally used μ M. The preparation before treatment is the same as electric ironing. In addition to the thermal effect, it also has the effects of pressure, photochemistry and electromagnetic field. Therefore, it has the advantages of anti-inflammatory (stimulating the body to produce a strong defense immune function), analgesic (making tissue edema subside, reducing the chemical and mechanical stimulation to nerve endings) and promoting tissue repair (enhancing the anabolism of epithelial cells, promoting epithelial proliferation and accelerating wound repair), Therefore, the treatment time is short and the cure rate is high.