Genital Lesions

Penis

• Genital warts

  • Condyloma latum: Verrucous, flesh colored papules that coalesce into plaques. Generally appear months to weeks after exposure.

  • Molluscum contagiosum

  • Pearly penile papules: Small skin-colored, dome-shaped lesions generally present at the corona

• Lichen sclerosus: Patient presents with pruritis, pain, and/or bleeding. Appear as hypopigmented lesions on the glans or prepuce with cellophane texture that leads to atrophy, erosions, and/or bullae.

• Angiokeratomas: Reddish-blue, circumscribed papules generally found on the glans. Refer to urology in cases of regular bleeding or if the lesions appear on the penis shaft, suprapubic/sacral regions as it may indicate Fabry disease.

• Uncommon

  • Lichen nitidus: Asymptomatic hypopigmented papules < 1 mm in diameter found scattered across the penis

  • Carcinoma in situ: Uncircumcised male age > 60 years presenting with irregular, beefy-red papules

Vagina