Molluscum warts or Molluscum contagiosum is a viral, contagious disease that usually appears in children from 3 months to 16 years old, and in adults it is a sexually transmitted disease.
The instigator is a virus, from the Poxvirus group, that is transmitted by direct contact of through water in the swimming pools. In adults it is usually transmitted sexually. The disease can often be seen in person with atopic dermatitis, in immunosuppressed persons and in persons with HIV infection.
Molluscum contagiosum develops on any part of the body, from 14 days to 6 months after exposure to the virus, and tends to spontaneously retreat after a few months.
It is characterised by the appearance of papules – pimples, from 2 to 5 mm in diameter, which are skin colored and with an umbilical center, grouped or individually distributed (Picture 1). In children the changes are usually present on the trunk, face and extremities, and in adults on the thighs, stomach and genitals.
The diagnosis of the disease is made based on the clinical picture. Molluscum contagiosum should be differentiated from the moles, warts, acnes, condilomas, juvenile xanthogranulomas and pyogenic granulomas.
The course and diagnosis of the disease
The disease is benign but viral and can tend to spontaneously retreat after a few months. It is more often that a large number of changes develop from only one of them, which is why the treatment is needed.
Treating molluscum warts
Removing warts is usually done by radio waves, a sharp curette or liquid nitrogen, and ceratolithics, cantharidin, retinoids and imiquimod can be used locally.
MA.Sci.Med.Dr. Danica Milobratovic, dermatologist
Dermatological clinic DERMATIM, Belgrade, Serbia