II. Symptoms

  1. Asymptomatic
  2. Pruritus is rare

III. Signs

  1. Tiny (1 mm) hypopigmented slightly elevated Papules
  2. Distribution
    1. Penis (see Penile Lesion)
    2. Arms
    3. Abdomen
  3. Often found on non-genital skin
  4. Distinguish from Genital Herpes and pearly penile Papules

IV. Management

  1. Various medications have been used (Corticosteroids, Cyclosporine, Itraconazole, Phototherapy)
  2. Avoid laser ablation due to scarring risk

V. Course

  1. May resolve spontaneously without treatment

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