Patient Education of Molluscum Contagiosum

Molluscum contagiosum is a benign, self-limited disease. Complications of molluscum contagiosum include irritation, inflammation, and secondary infections. Lesions on eyelids may be associated with follicular or papillary conjunctivitis. Because molluscum contagiosum is known to spread by direct contact and fomites, patients need to be educated regarding transmission of the disease.Patients with molluscum contagiosum should avoid scratching to prevent autoinoculation and avoid sharing of grooming implements (eg, razors, bath towels) and contact with other fomites. Obstetricians should be aware of the risk of vertical transmission of molluscum contagiosum, and they should take precautions to prevent transmission during vaginal delivery.Any one lesion is present for about 2 months; however, to prevent autoinoculation or transmission to close contacts, therapy may be beneficial. The common goal of the different treatment methods is the destruction of the lesions. Treatments for molluscum contagiosum are effective if patients are compliant. Additional duration of therapy may be required in immunocompromised patients.An open-label study has established the safety of imiquimod cream 5% 3 times per week for children with extensive molluscum contagiosum. Cantharidin is a single application that may need to be repeated once or twice every 3-4 weeks; cantharidin has gained popularity, allowing it to be compounded and applied topically.In a study of efficacy, tolerability, and parental satisfaction with cantharidin treatment of children and infants, 96% of subjects improved after treatment with cantharidin. Although 46% of patients experienced adverse events, including pain, pruritus, secondary infection, brisk immune response, and temporary hypopigmentation, the rate of parental satisfaction was 78%.The use of photodynamic therapy may be beneficial for patients with recalcitrant molluscum contagiosum. The technique has mainly been used for HIV-positive patients and immunocompromised children with molluscum contagiosum. The treatment success rate increases drastically with the use of antiviral medications, particularly HIV-1 protease inhibitors in combination with nucleoside analogs that inhibit reverse transcriptase.Curettage has been shown to be an effective treatment in children and adults. The topical anesthetic cream EMLA can be applied under occlusion an hour before curettage to decrease the discomfort associated with the procedure, but the area of application of the anesthetic should be limited. Improvement of lesions was seen.Unfortunately, there are few adequate and non invasive molluscum treatments. Because the true skin is the reservoir of nourishment, it is the area where most dermatological problems begin and where the root of a molluscum resides. This is why surgery as molluscum contagiosum treatment is highly invasive; it must dig deep through all dermal layers.Surgically removing molluscum or using acids for molluscum treatment, as commonly prescribed, are traumatic and not always effective. As the antiviral properties AntiMolluscum-Rx have the demonstrated ability to penetrate all layers of the skin and thoroughly eradicate molluscum infections, these active ingredients in the treatment for molluscum have received considerable attention.Viruses exhibit rapid rates of mutation which can make immunity difficult to sustain. Once a cell is infected it is difficult to selectively inhibit the virus without harming the host cell. As a result, research on possible molluscum treatments have focused on plants as strong allies in restoring immune strength and inhibiting the spread of viral diseases.Some of the most impressive results consistently achieved in medicinal plants are in the elimination of viruses.

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