Question by kaitlynne: Molluscum Contagiosum treatment?
After a lot of internet research, I have diagnosed myself with molluscum contagiosum (it matches perfectly). I made a dermatology appointment, and I was curious as to-
– what treatment would consist of (bumps are in pelvic area) and what to expect
– how many treatments are needed to cure
– how long until it is gone
Thank you for your help!
Answer by Habibur Rahman
Molluscum contagiosum is a common cutaneous infection with a poxvirus.
It can affect any age group but usually targets children over the age of 1 year. The prevalence is also high in individuals who are immunosuppressed.
The classic lesion is a dome-shaped, ‘umbilicated’, skin-coloured papule(a bump or pimple larger than a grain of salt but smaller than a peppercorn) with a central punctum.The lesions tend to be multiple and are often found in sites of apposition such as the side of the chest and the inner arm; they resolve spontaneously but can take several months to do so.
Prior to resolution, they often become inflamed and may leave small, discrete, depressed scars.
A wide range of treatments has been tried but none is very effective and they can be painful; no treatment is an acceptable option.
1) Individual lesions can be removed by curettage under local anaesthetic but the lesions are commonly multiple.
2) Gentle squeezing with forceps after bathing can stimulate regression.
3) Topically applied chemicals such as salicylic acid (topical 5% acidified nitrite co-applied with 5% salicylic acid), podophyllin (topical 0.5% podophyllotoxin) and trichloroacetic acid cause marked inflammation and results vary.
4) Cryotherapy can be tried but is not as effective as gentle squeezing.
5) Physical occlusion with duct tape is advocated by some groups.
6) Topical 5% imiquimod cream has recently been shown to be effective.
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