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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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Last updated: 12/03/2019 4:34 PM

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What WE DID WELL

(Answers:674)

THE STAFF AND THE PAINTINGS - lINDA WAS A GOOD LISTENER AND EXPLAINED EVERYTHINF IN DETAIL - SHE DID MOT RUSH ME - I LIKE THAT - ERIN WAS PLEASANT AND VERY PROFESSIONAL . I WAS A GOOD VISIT- THNKA YOU

#12011-04-01 14:05:41

I was scared that I had something on my face after my laser treatment. As it turns out Jill took a second look and told me it was normal and it will resolve. The reason why I tell you this is because Lisa at the front desk was instrumental on making sure I was followed up and that my fears were elevated. Lisa was outstanding! From my experiences in the past, I find most people at the front desk don't really care about the patients. However, I did not get that from Lisa. She kept in contact with me until I was completely satisfied with my care. She really is a professional and deserves recognition. Her job is the most important one in the office. I have left other offices in the past because I didn't care for the staff. That won't happen here! Hats of to LISA!!!! P.S. The computer in the waiting room is AWESOME too!!!

#22012-12-06 11:38:48

Friendliness of the receptionist and Dr. Ringpfeil's expertise

#32019-09-24

I definitely liked Dr. Ringpfeil since she was thorough and attentive to my questions.

#42019-12-03

taken promptly for appointment

#52010-11-08 14:14:51

the Dr

#62019-11-30

The full explanation of my possible condition and the best line of treatment.

#72010-12-16 12:26:48

Appearance of office, professionalism and efficiency of staff and doctor.

#82012-10-03 12:03:35

efficiency, carefulness, thoroughness very much in evidence.

#92019-06-23

The friendliness. professionalism and knowledge of all staff members.

#102019-12-06

What can we do better?

(answers:373)

do not change a thing

#12019-09-21

No complaints at all, but since you asked, receptionist today could have been "warmer"

#22010-08-25 10:41:35

less waiting time for follow up appointments

#32019-05-16

Shorter wait, but not much else.

#42019-08-29

While I totally understand the late policy, unfortunately my daughter and I drove 1.5 hrs to the facility and given the weather and errorous directions, we ended up being 7 mins late. I immediately called the office while on route to explain that we were lost and sought correct directions. The receptionist was very curt, short and condesending. Upon our arrival, there was no warm greeting and very limited eye contact. Again,as a heath care provider myself, I appreciate the need to follow a schedule, however, our appointments were in direct succession and I do not think it would have had a significant impact on the work schedule, given our special circumstance.

#52011-03-24 10:10:11

totally satisfied with everything

#62019-11-11

No comments at this time.

#72019-11-18

receptionist should not be so quick to refuse insurance before fully understanding the the type of insurance and how it functions

#82011-09-14 09:34:31

keep on on trying to do your best

#92019-04-18

u r awesome, make everything FREE!, haha jk, worth every penny!

#102011-12-21 17:29:36
Customer Rating : 4.5

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