Genital Papules in an Adult Male
Am Fam Physician. 2016 Jul 15;94(2):140-142.
A 43-year-old man presented with a one-week history of multiple weeping papules on his penis and scrotum. The lesions were not painful, and he had no other symptoms. He had no relevant medical history, including human immunodeficiency virus infection, but he had had unprotected sexual encounters with multiple women over the previous three months.
Physical examination revealed more than 50 firm, moist, pink papules on the scrotum and penile shaft (Figure 1). The lesions were nontender, smooth, and flat-topped. The patient had bilateral inguinal lymphadenopathy. The remainder of the examination was normal. A rapid human immunodeficiency virus infection test was negative. A biopsy was performed for further evaluation.
Based on the patient's history and physical examination findings, which one of the following is the most likely diagnosis?
B. Condyloma acuminatum.
C. Condyloma latum.
D. Granuloma inguinale.
E. Lymphogranuloma venereum.
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This series is coordinated by John E. Delzell Jr., MD, MSPH, Assistant Medical Editor.
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