VIRAL DISEASES OF SKIN

1. MOLLUSCUM CONTAGIOSUM
2. HERPES ZOSTER
3. WARTS
4. HERPES GENITALIS
 MOLLUSCUM CONTAGIOSUM
• Etiology : Pox Virus (molluscipox)

• MOT :
– 1. Direct spread
– 2. fomites (clothes, Towels)
– Sexual Transmission
• Clinical features
– Pearly white, Dome
shaped papules which
are umbilicated

• Complication
– Secondary infection
• Treatment
– Eneucleation ( mechanical Expression)
– Podophylline wart paint
– Chemical cautery with Tri Chloro Acetic Acid
– Cryotherapy
 Herpes Zoster
• Etiology
– Varicella Zoster Virus

• Pathogenesis
– Ater an attack of Chickenpox, The virus lies
dormant in the sensory root ganglion.
– Its reactivation causes HZ
• Clinical Features
– Segmental Pain
– Appearance of grouped vesicles in a segmental
distribution
• Complications
– Post herpetic neuralgia
– Ulceration
– Secondary bacterial infection

• Treatment
– Tab Acyclovir 800mg 5 times daily for 7 days
– Treat pain with analgesics
– Treat secondary infection with antibiotics
 WARTS / VERRUCA
• Etiology
– Human Papilloma Virus

• MOT
– Non genital Wart : Direct skin to skin contact
– Anogenital Wart : Sexual Transmission
• Clinical features
– Common warts, known as verruca vulgaris, are
usually asymptomatic
– Single or multiple firm papules with verrucous
surface
– Can occur anywhere
• Treatment
– Curettage and cautery
– Keratolytic agengs ( Salicylic acid )
– Imiquimod
– 5 florouracil
– Cryotherapy with liquid nitrogen
 VENEREAL WARTS
ANOGENITAL WARTS
• Definition
– Warts in the genital / anogenital region

• Etiology
– HPV

• MOT
– Sexual contact
• Clinical Features
– A typical anogenital wart is known as condylomata
acuminata
– Presents as a soft fleshy, pinkish papules
– May enlarge to form cauliflower like lesions
• Treatment
– Topical podophylline 25%
– Imiquimod
– 5 florouracil
– Cryotherapy with liquid nitrogen
– 4 ‘C”
• Compliance, Counselling, Contact tracing, Condoms
 HERPES GENITALIS
• Etiology
– Herpes Simplex Virus (HSV)

• MOT
– Sexual contact
• Clinical Features
– Painful, burning, closely grouped vesicles
– Vesicles rupture to give erosions
– Recurrence is common
• Treatment
– General measures
• Avoid sexual activity during the active phase
• 4 Cs
– Specific measures
• Tab Acyclovir 400 mg tds 1 week