Molluscum

Molluscum are viral infections caused by a poxvirus. They cause small, flesh-coloured to pink bumps with a slightly depressed or umbilicated centre.

Molluscum can go away spontaneously over months to years. However, during that time it is contagious and may be itchy. It may also become redder and more swollen when the immune system is trying to clear the infection.

Molluscum

Treatments available in the clinic include:

Prescription

Off label use of topical retinoids, to irritate the skin, and imiquimod cream can help trigger the immune system to clear the infection sooner

Destructive “in office” treatments

Curettage

  • Helps to express the molluscum body

Cryotherapy

Cantharidin (derived from the Blister beetle)

  • Off label use
  • Forms a blister within 24 to 48 hours

Pulsed dye laser 1-2

  • Usually for multiple lesions
  • Especially in immunocompromised patients

References

  1. Hancox JG et al. Treatment of molluscum contagiosum with the pulsed dye laser over a 28-month period. Cutis 2003;71:414-416.
  2. Forbat E et al. Molluscum Contagiosum: Review and Update on Management. Pediatric Dermatol. 2017;34:504-515.