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Molluscum contagiosium: viral skin infection caused by molluscum…
Molluscum contagiosium: viral skin infection caused by molluscum contagiosum virus (MCV), a member of the the Poxviridae family.
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Transmission occurs by close personal contact, or indirectly via contaminated surfaces such as shared towels and flannels.
Virus infected cells replicate causing hyperplasia and flesh-coloured, umbilicated papules develop
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Diagnosis
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In children, lesions are commonly seen on the trunk and in flexures, but anogenital lesions may also occur.
In adults, sexual contact may lead to lesions developing on the genitalia, pubis, thighs, and lower abdomen.
Rarely, lesions can occur on the oral mucosa and on the eyelids.
Management
self care advice: contagious, good hygiene, advice bathing, exclusion from swimming,school gym. Advised not to scratch
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If skin infected (oedema, crusting) abx cream eg fucidic acid 2%
Differential
Warts — often have a rough surface, with no central umbilication.
Milia — white keratinous cysts on the face, most frequently around the eyes.
Lichen planus (uncommon) — an inflammatory pruritic disease characterized by distinctive, usually purplish, papules.
Syringomata (uncommon) — small pale papules, usually around the eyes.
Cutaneous cryptococcosis — umbilicated papules; not uncommon on the face, found in people with immunosuppression (especially HIV). Patients are usually very ill.
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