Diagnose and Treatment of Molluscum

Contagiosum

Hasmah Bt Ashmar
Putri Mentari Samrin
Elisa Farhana Bt Omar

(C11111831)
(C11111361)
(C11111859)

Advisor:
dr. Rani

Supervisor:
dr. Asnawi Madjid, Sp.KK, MARS
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Molluscum Contagiosum
Definition
Molluscum Contagiosum (MC) is a benign but
troublesome viral infection
most often affect young children.
smooth, dome-shaped, discrete, opalescent
papules with a central core that occasionally
develops surrounding areas of scale and
erythema .
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Etiology

4 types of poxvirus

Epidemiology

Infection with MCV is worldwide.

Three groups are primarily affected: young
children, sexually active adults and
immunosuppressed persons
Molluscum is most easily transmitted by
direct skin-to-skin contact, especially if the
skin is wet.

Clinical Features

Figure 1. Molluscum
Contagiosum
A. Discrete, solid, skincolored papules, 1-2 mm
in diameter with central
umbiilication.
B. Multiple, scattered, and
discrete lesion, some of
which are inflamed.

DIAGNOSE

Anamnes
es

Anamnesis
-

Duration
Sexual activities
Underlying immune diseases
Allergies
Medical history

Physical Examination
Clinical apperance of the lesions :
- discrete, nontender, flesh color,
dome- shaped papules +central
umbilication
Morphology of the lesions :
- 2-3 mm in size
- may presents in group or widely
disseminated
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Histopathology

Acanthosis
Henderson-Peterson bodies
Eosinophilic
Granular inclusions within the

Differential Diagnosis
1. Veruca Vulgaris

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2. Granuloma Pyogeni

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3. Basal Cell Carcinoma

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Divided into two:

Medicamentosa
Non-medicamentosa

Medicamentosa
Systemic
Topical
Intervesion

Medicamentosa
Systemic
Cimetidine
T-lymphocyte population stimulator
Viral infection controller

Topical
Imiquimod cream
To treat the external genital and
perianal (adult)
Can be continued to 16 weeks

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Cantharidin
Contains 0.9% collodian and acetone
Shows satisfied result in treating MK
Podofilin suspension 0.5%
Applied 2 times a day for 3 days
Contain quercetin and kaempherol
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Intervension
Curretage
Known as hand-held curretage
Should be done 40-60 minutes after
local anasthesia
Cryosurgery
Freezing technique using liquid
nitrogen

Light emitting and pulse dye laser

To treat molluscum non genital
Low side effect
High cost

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Non medicamentosa

Waxing (genital area)

Do not share any personal items
Do not Squeeze the lesion
Practice good hygiene

Thank
you

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