MOLLUSCUM

Molluscum are smooth, pearly, flesh-colored skin growths caused by a viral infection. They start as small bumps and can grow to the size of a pencil eraser. Many have a central indentation where the virus resides. Molluscum can be itchy, and the skin around the growths may become inflamed. Typically, the bumps last from two weeks up to one and a half years and can resolve spontaneously. Molluscum can be transmitted through direct contact with an infected person.

WHAT TYPE OF TREATMENT IS AVAILABLE FOR MOLLUSCUM?

Although molluscum generally clear up on their own, the lesions can spread easily, become infected, cause irritation, and may be unsightly. Therefore, treatment is often pursued. The appropriate treatment varies based on the patient's age and the size and location of the lesions. One common treatment is Cantharone, a blistering agent derived from beetles. This agent is applied to the skin growth with a wooden applicator and should be washed off after 4 to 6 hours. Typically, a small blister forms within a day, and when the scab falls off, the growth disappears. This method is favored because it is relatively painless and can be precisely applied, particularly on the face and in skin folds. While blistering is generally mild, extensive blistering can occur in sensitive individuals, though scarring is not a typical outcome. Managing blisters can include using compresses with lukewarm water and sterile needle puncturing.

Freezing with liquid nitrogen is another treatment option, where it is applied using a cotton-tipped applicator. This application may feel hot briefly and might cause a blister or irritation. Scraping the growth or removing its core after numbing the area with a topical anesthetic is another method.

Topical treatment creams like MolluscumRx are also available.

As treatments are administered, new molluscum may develop. All visible lesions are typically treated, and multiple sessions are often necessary. If molluscum recur or new lesions appear, further treatment sessions can be scheduled. Discomfort from treatments is usually mild and can be alleviated with over-the-counter pain relievers such as acetaminophen (Tylenol) or ibuprofen (Advil, Motrin).