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Molluscum Contagiosum

What is molluscum?
Molluscum contagiosum is a skin infection caused by a virus. Molluscum causes small bumps to appear on the skin. Most of them are less than half an inch in diameter. They have a hard white core. Some lesions have a small dent or dimple in the center. The lesions are the same color as normal skin, but they look waxy. They usually don't hurt or itch. The molluscum virus is very common, and almost everyone has it in his or her body. A healthy immune system will control molluscum so that if lesions appear, they do not last a long time. People with weakened immune systems can develop molluscum lesions that spread, last a long time, and are very difficult to treat.

How does molluscum spread?
Molluscum can be spread by direct skin contact. It often spreads through sexual activity. Molluscum can infect any part of the skin, but it is especially common on the face or in the groin and pubic areas. Children in day care centers may contract molluscum on their arms from contact with each other. Shaving with a razor blade can spread it.

How do I know if I have molluscum?
An experienced health care provider can easily identify molluscum lesions. There are only one or two other infections that cause skin problems that look at all similar to molluscum.

How is molluscum treated?
Molluscum lesions are treated the same way as warts. Sometimes the lesions return and need to be treated again. They can be frozen with liquid CO2. This is the most common method of treatment. They can also be treated with chemicals used on warts such as trichloroacetic acid (TCA), podophyllin or podofilox. These chemicals can not be used on sensitive skin or near the eyes.

Can molluscum be prevented?
It's not possible to avoid being exposed to it. However, if you have molluscum you should make sure that the lesions don't touch anyone else. You should also be careful not to spread molluscum to different parts of your body. Be careful not to scratch the lesions or to cut them while shaving. Some doctors think that using an electric shaver helps prevent the spread of molluscum.


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