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JAMA Clinical Challenge |

A Florid, Tiny, Discrete Eruption on the Penis

Hsien-Yi Chiu, MD; Hsien-Ching Chiu, MD
JAMA. 2012;308(12):1264-1265. doi:10.1001/2012.jama.11061.
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A 13-year-old boy presents for evaluation of asymptomatic papuleson his penis for the past month. The number of lesions has increased slowly. He reports no other associated systemic symptoms and neither a preceding sexual exposure nor a history of sexually transmitted disease. A viral infection was suspected in medical clinics, but no improvement was observed after treatments. Clinical examination reveals many tiny, smooth, translucent, and shiny skin-colored papules affecting nearly all the glans penis and prepuce (Figure). A few similar lesions are distributed on the thighs.

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Figure. Many tiny, smooth, translucent, and glistening papules on the glans penis and prepuce.
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The American Medical Association is accredited by the Accreditation Council for Continuing Medical Education to provide continuing medical education for physicians. The AMA designates this journal-based CME activity for a maximum of 1 AMA PRA Category 1 CreditTM per course. Physicians should claim only the credit commensurate with the extent of their participation in the activity. Physicians who complete the CME course and score at least 80% correct on the quiz are eligible for AMA PRA Category 1 CreditTM.
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