Managing pearly prepuce - Active communication and masterly
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Many newborn infants show few creamy white rounded epithelial inclusion cysts on the hard palate which are self limiting and disappear in few days or a week.These are called Epstein pearls when present on the hard palate and Bohn’s nodules when found on the gums. Although these may mimic oral candidiasis, palatal Epstein pearls do not raise much concern to the parents apparently because these are not easily visible. Sometimes, these inclusion cysts may be found on the prepuce or anywhere on the median raphe of the shaft of the penis. Referred as prepucial Epstein pearl (PEP), its occurrence evokes lot of concern and anxiety to the parents. Lack of awareness in the health-care providers about this condition leads to unnecessary investigations and medication although PEP is benign in nature and disappears on its own in few days. We came across two cases having PEP which we thought to present here as most physicians and nurses looking after mother and child are not aware of this entity and discussion on the subject would help them appropriately manage such cases....

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