Molluscum Contagiosum is a skin condition that is caused by a virus, which belongs to the group of pox viruses. It has an incubation time of 2-7 weeks. It is a sexually transmitted disease in adults and the common areas of appearance are pubic area and the external genitalia.
However, Molluscum Contagiosum lesions can also be observed on the face, neck and other areas (thighs, buttocks, etc.). In children, the skin condition is not sexually transmitted and is transmitted through close contact (e.g. play) by other children and then through self-inoculation (from the initial damage new ones are created).
Clinically, the lesions of Molluscum Contagiosum look like small pearly papules 3-6 mm in size, with a central umbilicus that contain a viscous material, the particle contagiosum. They are most often perceived by patients as pimples which gradually multiply. Up to 10-20 lesions are usually seen, but children with atopic dermatitis may have many more. Molluscum Contagiosum is a self-limited skin condition and resolves within few months. However, we treat the lesions to limit their spread to the same person or other people, especially to children who can easily spread the disease through play and physical contact with other children.
The treatment consists of the removal of lesions and their crushing (pressing) with surgical forceps or a cochlea and then applying iodine tincture. Other methods are to treat the lesions with cryotherapy or diathermocoagulation. Before the operation, we also apply an anesthetic cream for 30 minutes to make the procedure painless. There are also topical preparations to treat the disease, but the process is time-consuming and possibly ineffective in some cases.
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