Overview

Molluscum contagiosum is a common viral skin infection causing small round firm pearly bumps with a central dimple. Very common in Kuwait's nurseries and schools. Spreads through direct skin contact, shared towels, or pool water. Usually self-resolves in 6-18 months. In adults it can also be sexually transmitted.

Symptoms

• Small (2-5mm) round flesh-coloured pearly bumps with a characteristic central dimple
• May appear singly or in clusters; usually painless, occasionally itchy
• Common in children on face, neck, armpits, and trunk
• Surrounding eczema-like rash often signals imminent natural clearance

Causes & Risk Factors

• Molluscum contagiosum virus (MCV)
• Transmission: direct skin contact, shared towels/bath items, pool water, sexual contact in adults
• Risk: young children, atopic dermatitis, immunosuppression, pool use, warm humid climate

Complications

• Secondary bacterial infection; conjunctivitis if lesions near eyes
• Extensive lesions in immunocompromised patients; scarring from aggressive treatment

Diagnosis

Clinical diagnosis by characteristic pearly appearance with central dimple. Dermoscopy helpful. Biopsy in atypical cases.

Treatment

• Healthy children: watchful waiting acceptable — most self-resolve in 6-18 months
• Treat if rapidly spreading, near eyes, or causing distress
• In-clinic options: cryotherapy, curettage, cantharidin, KOH solution, pulsed dye laser
• Topical imiquimod for widespread lesions

Prevention

• Don't share towels, swimwear, or bath items; cover lesions with waterproof dressings during swimming
• Avoid scratching; wash hands frequently
• Children can attend school but should avoid contact sports until lesions are covered or treated

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