Penile pearls in a newborn

A male newborn infant born at term gestation, appropriate for gestational age), was noted at delivery to have genital lesions. The infant was born to a primigravida mother with adequate prenatal care. Her antenatal period was uneventful. The infant had two distinct 5-7 mm, smooth, glistening pearly-white papules at the tip of the penis (Figure A). These papules over the penile glans were adherent and limited the inspection of the urethral meatus (Figure B), but the infant passed urine well. The visual appearance of these lesions was diagnostic of penile Epstein pearls.

source https://www.jpeds.com/article/S0022-3476(23)00025-2/fulltext?rss=yes