Summary
Definición
This condition is caused by the molluscum contagiosum virus, a ubiquitous poxvirus that escapes immune destruction for months to years. Lesions are cutaneous (less commonly mucosal). They appear as pearl-like, smooth papules, which are umbilicated. Molluscum lesions display characteristic intracytoplasmic inclusion bodies (referred to as molluscum bodies or Henderson-Patterson bodies) on histology. Lesions are generally caused via skin-to-skin or fomite contact in children, and often by sexual transmission in adults.[1][Figure caption and citation for the preceding image starts]: Extensive molluscum lesions on the flank of a young child; lesions are flesh to pearly colored with central dellsFrom the collection of Dr Nanette Silverberg [Citation ends].
História e exame físico
Principais fatores diagnósticos
- pearly papule with a central dell
Outros fatores diagnósticos
- surrounding erythema
- facial or groin distribution of lesions
- pruritus
- atopic dermatitis
- sleep disturbance
Fatores de risco
- close contact with an infected individual
- sexual contact with an infected individual
- atopic dermatitis
- immunocompromise
- tropical climate
- swimming
Investigações diagnósticas
Investigações a serem consideradas
- dermoscopy
- curettage biopsy
- hematoxylin and eosin staining
- full sexual health screen including HIV test
Algoritmo de tratamento
immunocompetent
immunocompromised
Colaboradores
Autores
Nicholas Francis, PhD, MD, BA, MRCGP
Professor of Primary Care Research
Primary Care Research Centre
School of Primary Care, Population Sciences and Medical Education
University of Southampton
Southampton
UK
Declarações
NF declares that he has no competing interests.
Agradecimentos
Dr Nicholas Francis would like to gratefully acknowledge Dr Nanette B. Silverberg, a previous contributor to this topic.
Declarações
NBS declares that she has no competing interests.
Revisores
David M. Ozog, MD
Director of Cosmetic Dermatology
Department of Dermatology
Cosmetic and Procedural Dermatology
Henry Ford Health System
Detroit
MI
Declarações
DMO declares that he has no competing interests.
Anthony Ormerod, MB, ChB, MRCP, FRCP(Edin), MD, FRCP(Lond)
Consultant Dermatologist
Aberdeen Royal Infirmary
Aberdeen
UK
Declarações
None disclosed.
Andrea Bershow, MD
Staff Dermatologist
VA Medical Center
Minneapolis
MN
Declarações
AB declares that she has no competing interests.
Peer reviewer acknowledgements
BMJ Best Practice topics are updated on a rolling basis in line with developments in evidence and guidance. The peer reviewers listed here have reviewed the content at least once during the history of the topic.
Disclosures
Peer reviewer affiliations and disclosures pertain to the time of the review.
Referências
Principais artigos
Fernando I, K Edwards S, Grover D. British Association for Sexual Health and HIV national guideline for the management of genital molluscum in adults (2021). Int J STD AIDS. 2022 Apr;33(5):422-32. Resumo
Edwards S, Boffa MJ, Janier M, et al. 2020 European guideline on the management of genital molluscum contagiosum. J Eur Acad Dermatol Venereol. 2021 Jan;35(1):17-26.Texto completo Resumo
van der Wouden JC, van der Sande R, Kruithof EJ, et al. Interventions for cutaneous molluscum contagiosum. Cochrane Database Syst Rev. 2017 May 17;(5):CD004767.Texto completo Resumo
Artigos de referência
Uma lista completa das fontes referenciadas neste tópico está disponível para os usuários com acesso total ao BMJ Best Practice.
Diagnósticos diferenciais
- Warts
- Deep fungal infection (Cryptococcosis and Penicillium marneffei)
- Herpes simplex virus
Mais Diagnósticos diferenciaisDiretrizes
- UK national guideline for the management of genital molluscum in adults
- 2020 European guideline on the management of genital molluscum contagiosum
Mais Diretrizes
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