Molluscum Contagiosum is a common infection caused by a large epidermotropic pox virus.
It is common in children and is Spread by direct human to human contact. In adults it is often transmitted during sexual intercourse.
Symptoms and Clinical features of Molluscum Contagiosum
- Individual lesions are smooth-surfaced, firm, dome-shaped, pearly papules; average diameter 3-5 mm
- Some “giant” lesions may be up to 1.5 cm in diameter
- Characteristic central umbilication
- Spontaneous resolution is expected
- Host response plays an important role
- Children with widespread molluscum contagiosum usually have atopic dermatitis
- Consider HIV in adults.
- Viral warts
- Giant molluscum contagiosum may mimic basal cell epithelioma
Complications of molluscum contagiosum
- Secondary bacterial infection
- Histopathology of the expressed pasty core
Treatment for molluscum contagiosum
- Eradicate the skin lesions
- Light electrosurgery with a fine needle
- Cryotherapy with trichloroacetic acid 35% – 100%
- Curettage and paint with iodine
- Adult: 40 mg/kg/day orally for 2 months
- not licensed for use in children less than 1 year.
- 1 month – 12 years: 5 – 10 mg/kg (maximum 400 mg) 4 times daily
- 12-18 years: 400 mg orally 4 times daily
- To prevent or treat secondary infection
Prevention of molluscum contagiosum
- Avoid direct skin contact with an infected person