Pearly penile papules (PPP) are physiologic variant of the normal penis. They are asymptomatic skin colored smooth, measuring about 1-4 mm in diameter and occur in a single or double row on the corona of the glans commonly develop after puberty. Despite being asymptomatic these lesions can cause psychological distress in teenager and young adults considering it as serious concern or sexually transmitted disease (STD) of grave outcome. Many of the men with papules are concerned or worried by their presence and experience embarrassment leading to anxiety, depression and venereophobia. We herein present a case of PPP who developed schizophrenia like psychosis. To best of our knowledge such psychotic reaction secondary to PPP have not been described in the literature.
Pearly penile papules, venereophobia, psychosis, sexually transmitted disease