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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,

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definitely
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Overall doctor performance

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4.89%
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The doctor listened to you attentively

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

excellent
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The doctor explained treatment options

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The doctor explained treatment options

excellent
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Front desk performance

excellent
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good
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very poor
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Aesthetician performance

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Office comfort

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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)

Yes, the doctor listened attentively to my description of symptoms and was authentically interested in helping me to resolve a skin issue that numerous specialist have not been able to identify.

#12016-08-04

prompt everything explained clearly

#22016-08-16

I liked that Dr. Ringpfoil was very through and caring.

#32017-03-22

Ambiance and cleanliness of the office; informative, highly professional staff. Overall, this was a very pleasant experience.

#42017-05-22

jenny's attention was excelent

#52011-11-30 09:16:36

I was very impressed that Dr. Ringpfeil took the time out to talk to me and treat me like an individual. I am completely comfotable here and I will be coming here for my treatment.

#62011-05-04 14:47:50

The doctor's knowlegde of our needs & her eagerness to help get things treated quickly.

#72016-09-21

The entire staff was friendly and attentive to my childs needs. Thank you!

#82016-12-07

Ambiance and cleanliness of the office; informative, highly professional staff. Overall, this was a very pleasant experience.

#92017-04-16

THE DOCTOR WAS GREAT. REALLY EXPLAINED THINGS WELL AND LISTENED TO MY CONCERNS.

#102017-04-30

What can we do better?

(answers:373)

Everything was very clean and I cannot think of much you could do better.

#12017-03-28

Do no change

#22010-08-19 14:48:13

No Comments

#32017-04-08

nothing everything is fine as is.

#42017-01-03

I did not have any issues. The service was great.

#52016-12-27

Impossible! Best medical office experience possible.

#62011-10-17 16:27:23

Tea? Just kidding! Everything was great.

#72010-10-26 10:16:13

every thing was great!

#82016-05-30

Its hard to find anything that you guys didn't do correct. Keep up the good work

#92011-08-03 11:52:57

No complaints - overall best experience at any dermatologist.

#102011-09-27 12:59:17
Customer Rating : 4.50

Based on 31 ratings