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Written by Dr. Ringpfeil

Molluscum Contagiosum

Molluscum contagiosum is a benign rash caused by a harmless pox virus. Small skin colored or pink bumps with a central dell can occur on various body areas in children but in adults are most commonly seen in the genital area. They are contagious and transmission is by skin to skin contact. They are usually asymptomatic but if irritated can become itchy, red and tender. Once they are red and tender, they tend to resolve within another 10-14 days.

Diagnosis

The diagnosis is usually made clinically based on the characteristic appearance of molluscum contagiosum. A biopsy is rarely necessary unless lesions are unusual.

Management

In children, asymptomatic lesions need not be treated because they will eventually resolve over the course of 9 to 12 months. If treatment is desired due to appearance or symptoms, a number of modal;ities may be employed. Application of the following over the counter and prescription substances may be effective: tea tree oil (including Zymaderm), sinecatechin (green tea), salicylic acid, podophyllin, imiquimod, topical retinoids and cantharidin,. At home treatments often require multiple applications and have the potential for irritation. Length of treatment is highly variable. Individual lesions can be treated in the office via cryosurgery with liquid nitrogen, via application of a chemical blistering agent called cantharidin (commonly referred to as blister beetle juice) or via pulsed dye laser. In-office treatments are highly effective in visible lesions. Some molluscum bumps are not noticeable at time of treatment and if they develop several days later may start another crop on the skin. Application of liquid nitrogen causes some discomfort due to its very cold temperature, whereas cantharidin application is painless. Both treatments can leave permanently lighter colored marks. The pulsed dye laser causes an intense rubber band snapping sensation but leaves no scar. In sexually active adults, the molluscum lesions should be treated to avoid transmission to others. Cryosurgery is usually the treatment of choice in the genital area however topical imiquimod cream or sinecatechin ointment can be employed. Lesions can also be physically removed via curettage (scraping) but this method is less commonly employed. Sexual partners should be checked for the presence of molluscum lesions to avoid reinfection.

Coping

If the decision is made not to treat molluscum lesions in children it is important to avoid irritation to the molluscum. Scratching and chronic friction can cause mollsucum to become inflamed, red and sore. A water proof bandaid may be applied to single spots especially if molluscum is located in exposed or easily scratched area. The molluscum lesions themselves usually do not itch but they commonly occur in areas of eczema prone skin. They are also known to flare eczema (atopic dermatitis).Keeping a child's eczema or atopic dermatitis under control may lessen his or her risk for development of molluscum.

Prevention

Molluscum are spread by skin to skin contact. Infected individuals should avoid skin to skin contact with others. Parents should not bathe their children together if one child has molluscum. Single lesions in exposed areas may be covered with a waterproof band aid that is renewed daily.

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SKIN

# of surveys: 3767
Last updated: 01/21/2019 6:59 PM

PATIENT RATINGS

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Compare our service to other similar practices

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Overall doctor performance

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The doctor listened to you attentively

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The doctor took time to answer your questions

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The doctor explained treatment options

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The doctor explained treatment options

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Front desk performance

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very poor
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Aesthetician performance

excellent
88.6%
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Office comfort

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Parking

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Friendliness of the staff during appointment

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What WE DID WELL

(Answers:674)

Both Alana and Dr. Ringfeil listened to all of my concerns. Excellent doctor and office, will highly recommend.

#12011-05-25 10:21:24

The doctor was very personable, she explained each procedure in detail and answered all my questions. Dr. Ringpfeil has a very pleasant and reasurring mannaer, here staff is very efficent and welcoming.

#22019-06-17

Appt hours are great for early morning. Great staff!

#32019-07-02

The freindliness of the staff!

#42011-06-01 13:35:16

Yes, I liked Dr. Ringpfeil's attentive, friendly demeanor and the fact that she expained things well, making available every sort of treatment, but also making clear what was needed/recommended and what could/should be skipped in a sensible, conservative approach.

#52019-09-06

Everyone was so nice! I've never been to a doctor's office where everyone is so pleasant and the service is so quick! I didn't wait at all! You guys are great!

#62011-10-05 11:53:28

Friendly attentive staff and very nice ambience (love the art work!)

#72019-05-07

I liked the relaxing atmosphere, and the service. All the women were wonderful, and the doctor- especially- was friendly, and very helpful. I did not feel at all uncomfortable or nervous, as I normally do at a doctors visit. The assistant was wonderful, and they worked great as a team. The visit was painless, quick, and very easy. Thank you! I'll certainly be back and recommend this office to my friends and family as well. :)

#82019-08-19

Using a computer to fill out the new patient forms!

#92019-04-14

Did not have to wait at all. Other places I would wait 4 hours or more.

#102010-11-10 08:57:14

What can we do better?

(answers:373)

nothing

#12010-09-13 14:34:51

I was a bit embarressed by not knowing more information regarding my parents history. I believe it would have been better handled if I were asked to please get more info and then let the dr's office know.

#22019-02-10

No comments at this time.

#32019-08-08

your office was just as described to me, most impressive!

#42011-09-07 11:57:29

I was served perfectly

#52011-02-14 08:46:29

No comments at this time.

#62020-01-21

Nothing - excellent.

#72011-01-25 12:57:52

Everything was great thanks!

#82011-02-25 11:46:15

Too Early

#92019-09-12

There's nothing better, u already doing well.

#102019-12-27
Customer Rating : 4.5

Based on 122 ratings