Thursday, August 19, 2010

What Is Molluscum?








Molluscum contagiosum… I see at least 5 cases a day. It’s so common that I describe it to parents as a "right of passage" of childhood. They don’t spread from kids to adults, probably because we were all exposed at some point and are immune. Yet most people have never heard of it. What ARE these little bumps?


Mollusca (I think that’s the plural of molluscum) are tiny little bumps on the skin caused by a virus called molluscum contagiosum virus. Because it’s a virus, the bumps spread very easily. They eventually disappear on their own, but that can take a year or two. Not many moms are content to wait this long for something on their child’s skin to disappear, especially if it is on the face. In children who have skin conditions such as eczema, these buggers spread even more easily. And there is a stigma that goes along with having them (since they are contagious). For these reasons, many parents wish to have them treated. That’s where I come in.

Treatment of molluscum does NOT have to be painful. The most commonly used treatment in the United States, and in my clinic, is a medication called cantharidin. Kids love to hear that it is made from the extract of a blister beetle. This “beetlejuice” is a liquid that is applied to each bump in the doctor’s office which dries as a clear film. It is then washed off with soap & water 3 to 4 hours later. Within a day or so, a blister forms & the bump peels off. The best part is that this treatment doesn’t hurt. In published studies, it takes an average of 2-3 treatments to be rid of the pesky bumps. Although this is the most common treatment, other treatments may be considered if your child has a lot of lesions, or if the bumps are on the face or private area.

It is hypothesized that the virus that causes molluscum may be spread by swimming pools and in bath water. So do I recommend avoiding swimming pools altogether? Nah, I’m a big proponent of letting kids lead normal lives and doing things that are fun. I do, however, tell parents to avoid bathing their kids together when one of them has molluscum. And kids can’t be kept out of school for this very common problem.

You’re on the internet right now… the first thing you probably do when you get home from the doctor’s office is google the diagnosis that your little one has been given, right? I always try to figure out the worst thing you could find so I can do a little damage control. Adults DO get molluscum, but in the setting of sexual contact. Molluscum is NOT a sexually transmitted disease in children, EVEN when they are located in the genital area.

Don’t let the little guys drive you crazy. In fact, many pediatricians don’t even recommend treating them if a child only has a couple. However, if your child has lots of them, if they are in visible areas, if your child has eczema, if they are spreading, or if you are an OCD parent like me, you can see a pediatric dermatologist for easy, painless treatment.

12 comments:

  1. Thank you Brandi! We actually do have an appointment with you tomorrow, but I am so glad to have read this first. Looking forward to meeting you.

    ReplyDelete
  2. Easy to learn about Molluscum... Thanks

    ReplyDelete
  3. Wow, II didn't know you got that from swimming pools. That is scary to think about. I always just make sure my kids bath really well swimming, to get not only germs off o them but the chlorine.


    Alena | http://www.laubdermatology.com

    ReplyDelete
  4. It is amazing how many conditions can exist on the epidermis of a child. It is good that there are dermatologists out there who can help them. Some infections can be incredibly resilient.

    http://ADCderm.com

    ReplyDelete
  5. It proved to be Very helpful to me and I am sure to all the commentators here!
    Amgen Brodalumab

    ReplyDelete
  6. I think this is an informative post and it is very useful and knowledgeable. therefore, I would like to thank you for the efforts you have made in writing this article.
    Thebesian veins

    ReplyDelete
  7. Great Information about Molluscum. Thank you Brandi for sharing this.

    Thomas Balshi l www.southflderm.com

    ReplyDelete
  8. I read that Post and got it fine and informative. Please share more like that...
    zerolimitweb

    ReplyDelete
  9. Create more, that is all I have to say. Genuinely, it seems pretty much as you relied on upon the video to make your point. You surely hear what youre saying, why misuse your knowledge on essentially showing recordings on your online diary when you could give us something enlightening to examine?Website design service singapore

    ReplyDelete
  10. Meet with top dermatologist in India if you want the skin treatment with desired results. We offer the treatment with latest techniques.

    ReplyDelete
  11. My daughter ended up getting this on her knee and then my two grandkids had it before her and I was freaking out the doctor said not to treat it or do anything but I can't disagree more it's starting to spread and yes she does have eczema so thank you dr. Brandy for this enlightening tidbit of information I'm going to make an appointment to see or a local pediatric dermatologist as she is very embarrassed by this and short season's coming so I can imagine her stuff on her knees. Thanks again

    ReplyDelete
  12. Most of the time I don’t make comments on websites, but I'd like to say that this article really forced me to do so. Really nice post! skin cancer screening

    ReplyDelete