Molluscum Contagiosum

Definition

Molluscum contagiosum is an infection of the skin.

Causes

Molluscum contagiosum is caused by a specific virus. The virus can be spread from:
  • Direct skin to skin contact with an infected person
  • Shared items, such as towels or wrestling mats
  • One part of a person's body to another area

Risk Factors

Factors that may increase your risk of getting molluscum contagiosum include:
  • Weakened immune system, especially in people with HIV infection
  • Poor hygiene
  • Overcrowded conditions
  • Sexual contact
  • Having other skin conditions, such as atopic dermatitis

Symptoms

Molluscum contagiosum may cause:
  • Small, dome-shaped bumps with dimpling in center
  • Painless, but may be itchy or tender
  • Appear translucent, pearly or flesh-colored at first then may turn gray and drain
  • White or waxy substance in center of lesion
  • Usually multiple lesions in groups
  • Face, trunk, arms, and legs are common sites in children
  • Genitals, abdomen, and inner thigh are common sites in adults
  • Can last from several weeks to several years
Molluscum Contagiosum
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Diagnosis

Diagnosis is usually made based on the lesion appearance. Sometimes a biopsy will be taken to rule out other conditions. A biopsy is the removal of a small sample of the area.

Treatment

Molluscum contagiosum usually goes away on its own within six months to two years without any treatment. For people with HIV infection, the lesions usually persist and spread indefinitely. Your doctor may recommend the removal of some lesions to prevent the spread of the infection or to avoid infecting others.Lesion may be removed by one of the following:
  • Cryotherapy—freezing of the lesion
  • Curettage—cutting out lesion
  • Laser surgery—steady or pulsed high intensity light
  • Topical therapy—destruction of the lesion with a variety of chemicals

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