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Philadelphia and Mainline Center of Dermatology and Cosmetic Surgery

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: 4030
Last updated: 6/27/2023 11:10 AM

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Compare our service to other similar practices

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Overall doctor performance

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very good
4.89%
good
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The doctor listened to you attentively

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

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

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The doctor explained treatment options

excellent
92.0%
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5.69%
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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%
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Office comfort

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6.93%
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Parking

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Friendliness of the staff during appointment

excellent
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What WE DID WELL

(Answers:674)

Linda was very thorough and took time with me rather than rush me like she couldn't wait to get to the next patient. I've had that experience before so I appreciated that.

#12011-06-02 14:59:00

THE ATMOSPHERE IS LOVELY AND DR. RINGPFEIL IS VERY THOROUGH AND I HAVE CONFIDENCE IN HER.

#22023-06-06

Bravo!! I am very impressed with the doctor, staff, facility, everything right down to the current magazines available in the reception room(that I didn't even get to read!). I can highly recommend you with trust and confidence.

#32011-06-02 14:18:32

The professionalism was awesome.

#42012-07-03 15:04:31

The medical assistant and the doctor listen and the doctor explains the procedure and different options very well and explains what to expect from different options or procedure.

#52022-11-16

Loved the doctor. She was very friendly and it was refreshing to see someone who actually enjoys their job!

#62010-11-11 09:48:40

Doctor Ringpfeil was very friendly, interested and seemed to take a personal interest in me and my husband.

#72023-06-17

There is an open, respectful friendliness about the practise.

#82023-06-27

Everybody was friendly and helpfull.

#92023-03-10

The time the doctor spent with me.

#102023-08-01

What can we do better?

(answers:373)

Appointments on Fridays

#12010-09-27 09:26:48

Can't everything was excellent!!!

#22011-12-06 11:22:30

super happy with visit

#32023-09-22

It's a little warm in the office.

#42023-03-21

can't think of anything

#52011-12-12 10:13:47

maybe classical music on the radio? and some hunting and fishing magazines for the men. but the waiting period is so short it may not matter

#62010-11-08 11:23:38

This visit was great.

#72023-06-20

we are okay

#82023-09-21

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

#92011-09-07 11:57:29

There was some wait between my initial interview with the medical assistantand my meeting the physician. This wait could have been shorter.

#102023-04-21

Customer Rating : 4.6

Based on 402 ratings
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