Bowenoid Papulosis

Unlike EQ and Bowen's Disease, Bowenoid Papulosis (BP) occurs primarily in young sexually active men in their 30s, and is more synonymous with moderate

Multifocal lesions are seen on the infrapubic area and penile shaft

Fig. 5.3 Bowenoid papulosis in a 40-year-old man.

Multifocal lesions are seen on the infrapubic area and penile shaft

Fig. 5.3 Bowenoid papulosis in a 40-year-old man.

dysplasia (PIN II). 15 It is highly contagious, and the sexual partners of patients affected often have evidence of cervical intraepithelial neoplasia.20 Lesions occur primarily on the penile shaft, although they can also occasionally arise on the glans and prepuce. They usually appear as multiple, red, velvety, maculopapular areas, which can coalesce to form larger plaques (Fig. 5.3) . Associated pigmentation leads to a brownish appearance, and they often cause pruritis or discomfort. Like EQ and Bowen's Disease, BP is commonly associated with HPV-16. HPV-16 had a reported prevalence of approximately 70% in one small series of 16 patients.21 However, unlike the more dysplastic PIN III lesions, it usually runs a benign course, with malignant transformation in less than 1% of cases, usually in immunocom-promised patients.21

Dealing With Erectile Dysfunction

Dealing With Erectile Dysfunction

Whether you call it erectile dysfunction, ED, impotence, or any number of slang terms, erection problems are something many men have to face during the course of their lifetimes.

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