Understanding Molluscum Contagiosum

Molluscum Contagiosum is a disease that occurs in people of all ages, but is most common in children. This disease is caused by a virus that is part of the poxvirus family. It is characterized by lesions that appear as small, red, raised nodules on the skin. It is most frequently seen on the face, neck, arm pit, arms, and hands but may occur anywhere on the body (except the palms and soles.)

The rash or lesions can be seen in a small area or can spread. Scratching the nodules causes the condition to spread, so they will often be seen in lines or areas where the individual has scratched. This is a contagious condition and can appear on the genitals and be spread as a sexually transmitted disease.

The nodules are painless and does not have any accompanying illness. The nodules are approximately 2 - 5 millimeters in diameter. Since there is normally no inflammation and nor redness associated with the condition. There may be redness and irritation if a person has been digging or scratching at the lesions. In the mature molluscum, the top of the nodule may be opened and a small waxy core can be seen and removed from the nodule.

This condition is considered a chronic infection and may continue for weeks, months or years. Molluscum contagiosum is more common in people who have a lower immunity or whose immunity systems are compromised by other diseases or conditions such as HIV or AIDS. Diagnosis can be made by examination and a skin biopsy.

Treatment may involve removing the lesions surgically, or by scraping, de-coring, freezing, or, in some cases, through needle electrosurgery. It is important to note that surgical removal of individual lesions may result in scarring. Additionally, medications, such as those used to remove warts, may be helpful in removal of the nodules.

While there are no serious complications associated with this condition, it is highly contagious and there is the chance of a secondary skin infection from the open wounds, (such as impetigo). Since it is commonly spread as a sexually transmitted disease, the use of condoms may help - although the condition also tends to affect places that cannot be controlled by condoms. Abstinence and monogamous relations may be the only relatively sure ways to avoid contracting molluscum contagious. With children, direct contact is how the disease is spread from individual to individual.