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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: 3853
Last updated: 2/11/2021 4:23 PM

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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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Aesthetician performance

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Office comfort

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Parking

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What WE DID WELL

(Answers:674)

the people

#12020-05-02

Everyone seem to be knowing what they are doing and loving to take the time to assure you that they care and can assit you..

#22011-04-19 09:23:01

I ejoyed the beauty of the office-a nice place to be. I was anxious to meet the Dr.-and I found her to be great-very thouough,friendly and professional

#32020-06-16

I liked how the doctor gave me the prices of procedures that we discussed. Every doctor should do that!!

#42020-04-16

Dr. Ringpfeil was very friendly & took time to answer all my questions. Very attentive & knowledgable!

#52020-10-13

Information provided by doctor.

#62020-10-20

I WAS VERY COMFORTABLE WITH THE VISIT

#72020-07-06

It was a comphrehensive examination ..

#82020-03-21

The consultation with the doctor. She was able to diagnose the problem, which is most appreciated.

#92020-07-26

EXCELLENT SERVICE, THANK YOU FOR YOUR ADVISE & ASSISTANCE. VERY CLEAN, NICE & CONFIRTABLE OFFICE SETTING. VERY KNOWLEDGEBLE DOCTOR. THANK YOU AGAIN. I WILL RECOMMEND YOU GUYS TO OTHERS. EXCELLENT JOB!!!

#102020-07-07

What can we do better?

(answers:373)

Improve the movement of the mouse on its pad.

#12020-10-05

The only (minor) thing that I was disappointed in was that when I booked the appt. via phone, I was told that in addition to my cosmetic questions and consult, the Dr. would also be able to do my full body check. It turned out that there was not enough time to do both.

#22011-07-27 15:04:39

we are okay

#32021-02-21

Try to get enrolled as a provider in Tricare Prime!

#42020-07-20

Talk a little slower

#52011-09-12 11:44:23

watercooler in waiting room.

#62020-04-03

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

#72011-09-07 11:57:29

Everything was wonderful

#82021-01-21

Can't think of anything right now.

#92010-10-21 15:50:32

I do not like waiting long periods of time in either the reception area or exam room fort he Dr to come in. The exam with the Dr should be relatively close to the appointment time

#102020-10-05
Customer Rating : 4.5

Based on 178 ratings
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