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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: 3802
Last updated: 07/02/2020 7:44 PM

PATIENT RATINGS

Would you recommend us?

definitely
93.1%
probably
6.16%
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0.58%
not likely
0.08%
no
0.02%

Compare our service to other similar practices

excellent
87.9%
very good
10.1%
good
1.8%
poor
0.06%
very poor
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Overall doctor performance

excellent
94.2%
very good
4.89%
good
0.80%
poor
0.03%
very poor
0%

The doctor listened to you attentively

excellent
93.9%
very good
4.97%
good
1.05%
poor
0.05%
very poor
0%

The doctor took time to answer your questions

excellent
94.0%
very good
4.66%
good
1.27%
poor
0.02%
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0%

The doctor explained treatment options

excellent
94.3%
very good
4.16%
good
1.25%
poor
0.14%
very poor
0.02%

The doctor explained treatment options

excellent
92.0%
very good
5.69%
good
2.18%
poor
0.11%
very poor
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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%
good
3.39%
poor
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very poor
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Office comfort

excellent
90.9%
very good
6.93%
good
2.08%
poor
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Parking

excellent
66.4%
very good
14.4%
good
15.7%
poor
2.49%
very poor
0.9%

Friendliness of the staff during appointment

excellent
90.9%
very good
7.23%
good
1.85%
poor
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What WE DID WELL

(Answers:674)

The entire staff was very kind. Linda made me feel safe throughout the procedure.I also enjoyed the art which was beautifully displayed.

#12012-12-14 09:58:48

Staff was very friendly. The office is beautiful, organized, and very clean. I am very happy with my choice to see Dr. Ringpfeil!

#22020-04-01

Time spent with doctor was longer than expected. Doctor said she liked Retin-A Micro.

#32011-03-30 10:03:23

very professional

#42010-11-30 07:53:54

Everyone staff, doctor and assistant, were very nice and helpful.

#52019-12-01

the cute scrubs:-) knowledge of the dr. and staff.

#62020-05-17

The office ambiance is exceptional! Since I am a musician, I really enjoyed the soothing, classical music playing softly in the background. The fresh flowers also add a nice touch. I was extremely impressed by the cleanliness of the facilities and the professional and thorough treatment I received by Dr. Ringpfeil. The technological efficiency of the office was also very impressive!

#72020-04-05

Friendliness of the receptionist and Dr. Ringpfeil's expertise

#82019-12-19

Pretty, Friendly Ladies up front!

#92011-01-13 11:13:22

Office was lovely and roomy....the giveaways are a nice touch.

#102019-12-14

What can we do better?

(answers:373)

I've never been in a medical office that was so warm and inviting. The decor and overall appearance has the feel of your living room but also reminds you that you are in a clinical environment as well. This practice surpasses my expectations in every way, from the staff, dress code, advances in technology and overall care of the patient. I was made to feel that my care is your number one priority.

#12011-04-29 11:02:03

Keep it up!

#22020-01-15

Can't think of anything. I feel good about this visit.

#32010-09-09 11:47:56

everything was great, i don't have any suggestions

#42010-10-25 11:08:34

A follow up, even if its an email, after the apt. could help!

#52010-08-23 16:38:55

Get some better parking spaces

#62019-12-20

No major suggestions. I got all the answers I needed.

#72020-03-14

keep doing what u doing keep up the good work!!!!

#82019-12-04

More convenient office hours for those who work during the day. Perhaps one evening?

#92011-03-16 11:16:24

Service was extremely good.

#102011-01-27 16:47:12