Molluscum Contagiosum

Molluscum Contagiosum is a skin infection that is caused by a virus, which belongs to the group of pox viruses. It has an incubation period of 2-7 weeks. It is a sexually transmitted disease in adults. The common areas of appearance are the pubic area and the external genitals (adults).

However, Molluscum Contagiosum lesions can also be observed on the face, neck and other areas (thighs, buttocks, etc.). In children, the infection is not sexually transmitted and is transmitted through close contact (e.g. play) by other children and then through self-inoculation (from the initial damage new ones are created).

The lesions of Molluscum Contagiosum look like small pearly papules 3-6 mm in size, with a central umbilicus that contain a viscous material, the particle of contagiosum that we found it more frequent on pubic area. The lesions are most often perceived by patients as pimples which gradually multiply. The usual number of lesions is up to 10-20 lesions. In children with atopic dermatitis or in immunosuppressed individuals, the lesions can be a lot more. Molluscum Contagiosum is a skin infection that is self-limited within a few months. However, we treat the lesions to limit their spread to the same person or other people.

The treatment consists of the removal of lesions with surgical forceps or a cochlea and then applying iodine tincture. Other common methods are application of cryotherapy, electrocautery, or applicaton of local medication (imiquimod, podophyllin and podophyllotoxin).

In children, we use a local anesthetic cream (Emla) so the procedure can be well-tolerated.

Photographs

Terminth lesions in adolescent to adult

Terminth lesions in adolescent to adult

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