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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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What WE DID WELL

(Answers:674)

Friendliness of the satt and theri attentiveness. Also thoroughness of the questions

#12021-04-11

The thorough exam that Dr. Ringpfeil gave me. The professionalism of the entire staff. Everything from the ambience to the music.

#22020-11-06

Dr. was very attentive to my needs and laid out the complete treatment plan, including what may or may not be covered by insurance.

#32020-09-07

the service, and the timely manner i was seen

#42011-03-29 10:26:45

Office was very nice, comfortable atmosphere.

#52021-06-15

Definitely the best overall dermatology practice I've seen (I've seen a lot). Very well run and obviously the Dr. is extremely expert and knowledgeable.

#62011-06-09 11:41:32

every one was extremely friendly and helpful, loved the doctor

#72021-03-02

ENVIRONMENTALLY CONVENIENT AND EVERYONE WAS EXTREMELY FRIENDLY. ALSO IMPORTANT WAS YOU SERVE YOUR PATIENTS RIGHT ON TIME WITH NO DELAYS WHICH IS ALWAYS A PLUS!

#82012-06-14 10:23:51

The docotr was very nice and helpful!

#92020-07-27

Everyone was incredibly kind, informative and helpful. It was one of the best doctor office experiences I've ever had.

#102021-02-01

What can we do better?

(answers:373)

You were great. No suggestions

#12020-12-27

Medical newsletters or updates are helpful and informative. If it is advisable to have an annual mole check, for example, friendly reminders are always appreciated.

#22021-05-09

Everything was great! No further suggestion at this time.

#32020-11-27

No comments at this time.

#42021-07-16

Medical newsletters or updates are helpful and informative. If it is advisable to have an annual mole check, for example, friendly reminders are always appreciated.

#52020-12-01

I think the service provided fulfilled my expectations so at this time I do not have any suggestions for improvement.

#62021-04-14

Thank you for your help. I will definitely recommend Dr. Ringpfeil to friends.

#72021-05-22

Everything is just great!

#82020-09-05

I do not believe there is a need to improve.

#92010-11-01 14:00:26

Well basically there is no need because your doing a very good job.

#102010-10-04 16:54:13
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