Flesh-Colored Penile Lesion in an Adolescent

In extreme cases, removal with a carbon-dioxide laser may be effective.5 Genital warts commonly appear on the penile shaft and scrotum after sexual contact. There are many options for treatment, including cryotherapy, laser therapy, podophyllum, podofilox (Condylox), trichloroacetic acid, bichloracetic acid (not available in the United States), fluorouracil, interferon alfa-n3, and imiquimod (Aldara). Summary Table Condition Characteristics Genital warts Soft, moist, pink or flesh-colored papules; may have cauliflower appearance Lichen nitidus Tiny, discrete, flesh-colored papules; classic “claw clutching a ball” pattern on biopsy Molluscum contagiosum 1- to 5-mm, pearly, flesh-colored, dome-shaped papules; cup-shaped mass of homogeneous cells is a characteristic finding on microscopy Pearly penile papules 1- to 4-mm, smooth, asymptomatic papules; commonly occur in a double row on the corona of the glans penis Scabies Pruritic, 1- to 3-mm, erythematous papules and vesicles; microscopy usually confirms the presence of mites Address correspondence to Gurinder J.S. Doad, MD, PhD, FAAFP, at gdoad@ppmh.org.