Genital warts can be confused with fibroepithelial polyps, dermal papillae of the glans crown, molluscum contagiosum, seborrheic keratosis, melanocytic nevi, and genital psoriasis.
Let’s see what each of these structures consist of…
1. Fibroepithelial Polyps
These polyps are benign and infrequent tumors, associated with post-surgical healing processes or as a sequela from the prolonged use of urinary catheters to treat urinary incontinence.
Their appearance is quite similar to a penile cancer tumor and a genital wart, which is why a biopsy of the tissue is necessary for diagnosis.
2. Dermal Papillae of the Glans Crown
These are normal anatomical structures, small, less than 2 mm in diameter, flesh-colored, and do not represent any disease.
The dermal papillae of the glans or pearly penile papules are located at the base of the glans, although on rare occasions they can be distributed throughout the glans. They can be removed, but only for aesthetic purposes.
3. Molluscum Contagiosum
Molluscum contagiosum is an infectious skin disease caused by a virus. It is more common in children, but can also occur in adults with weakened immune systems.
It can be transmitted in healthy adults during sexual intercourse or by direct contact with the skin of the infected person.
They appear as round, skin-colored, painless, firm bumps of various sizes.
It is a benign disease, which cures without treatment within 6 months to 2 years. Only in severe cases is treatment indicated by the dermatologist.
4. Seborrheic Keratosis
These are benign skin tumors that look waxy, scaly, and slightly raised, brown, black, or light brown in color.
They are more frequently presented in older people in the chest region, but can appear anywhere on the body.
Their presence in the genital or anal region can be confused with genital warts.
5. Melanocytic Nevi
These are benign growths of melanocytes, the cells responsible for pigmentation of the skin. They are commonly known as moles, freckles, or nevi.
They can vary in shape, coloration, location, and size, which can lead to confusion with genital warts in some cases.
6. Genital Psoriasis
Psoriasis is an inflammatory disease that almost always manifests itself with erythematous papules and plaques, well-defined, covered by a silver-colored scaling.
There is a variation called inverse psoriasis or genital psoriasis, in which red, smooth, and dry-looking lesions develop in the folds of the genital region.
These lesions can produce itching in the area of the lesions and dry and irritated skin. It is an autoimmune disease and, therefore, is not contagious.
These were some tips to help you know how to deal with HPV. However, there is much more you need to do if you really want to get rid of HPV and warts forever.
What you need to do is GET RID OF THE ROOT of the problem.
For that reason, I recommend you to look into Dr. Kirkland's story and how he was able to cure HPV and get rid of warts for good.
I wish you great success in your recovery!
Medically reviewed by Dr. John Wellington. Dr. John Wellington is a board-certified physician specializing in urology. With over 15 years of experience, he is passionate about sharing his knowledge through a popular health blog. Dr. Wellington holds an MD from Ivy League University and is a member of prestigious medical associations.
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