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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: 3749
Last updated: 05/18/2017 4:45 PM,

PATIENT RATINGS

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definitely
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Compare our service to other similar practices

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Overall doctor performance

excellent
94.2%
very good
4.89%
good
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poor
0.03%
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The doctor listened to you attentively

excellent
93.9%
very good
4.97%
good
1.05%
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0.05%
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The doctor took time to answer your questions

excellent
94.0%
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4.66%
good
1.27%
poor
0.02%
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The doctor explained treatment options

excellent
94.3%
very good
4.16%
good
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poor
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The doctor explained treatment options

excellent
92.0%
very good
5.69%
good
2.18%
poor
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Front desk performance

excellent
85.6%
very good
10.2%
good
3.66%
poor
0.31%
very poor
0.08%

Aesthetician performance

excellent
88.6%
very good
7.61%
good
3.39%
poor
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Office comfort

excellent
90.9%
very good
6.93%
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Parking

excellent
66.4%
very good
14.4%
good
15.7%
poor
2.49%
very poor
0.9%

Friendliness of the staff during appointment

excellent
90.9%
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7.23%
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What WE DID WELL

(Answers:674)

Love the technology. Dr. listened well to my concerns and was attentive.

#12017-08-12

Every aspect was oustanding, most importantly the expertise of the physician.

#22017-01-03

The staff was thorough and extremely friendly, I felt welcomed and well informed.

#32011-12-01 14:56:48

Dr. Ringpfeil is extremely knowledgeable about her field. She also put me at ease immediatley and made me feel quite at home. I will definatley return once a year for her to check me. Her assistant and the receptionists were most helpful and very nice and more than happy to comply with their patients' wishes. Should anyone be searching for a dermatologist, I highly recommend Dr. Ringpfeil.

#42017-04-12

Friendly staff and atmosphere

#52010-11-15 14:39:37

Everyone was friendly, office was nice and bright, bathrooom was clean.

#62017-07-26

The doctor answered all of my questions and concerns

#72017-01-12

Friendly, clean, and helpful.

#82010-11-29 14:01:40

I thought it was great, especially when compared to other dermatologists I have been to! Very professional and knowledgable.

#92017-01-11

I really appreciated how knowledgeable the doctor was about my condition. I also felt that she listened well and considered my opinion. Great job! Cant wait to come back.

#102012-06-14 15:35:48

What can we do better?

(answers:373)

Keep up the good work!

#12017-03-21

I am completely happy with my needs being met here.

#22010-08-23 16:52:07

no suggestions

#32017-07-02

I am perfectly happy, which is why i keep returning.

#42011-10-03 12:18:59

more availability for appointments.

#52017-11-23

WINE AND CHEESE WOULD BE NICE IN THE WAITING AREA

#62011-02-09 12:32:20

Keep up the thinks you are doing....

#72017-10-09

I am very satisfied with my experience at Ringpfeil Dermatology. I travel to get here and it is worth the drive!

#82010-10-21 14:58:02

Cannot think of anyway to improve things, unless you want to serve hot tea and cappachino!

#92011-02-22 11:25:39

I had an appointment for a consulation for sun damage. Unfortunately, I need to see either a doctor or PA for my issue and this was not included in my appointment, so I need to make another trip. It is difficult for me to carve time out of my work day to take care of personal needs, so this is creating an inconvenience for me. I would have preferred to had the complete consultation done in one appointment.

#102011-02-14 14:14:53
Customer Rating : 4.2

Based on 35 ratings