Molluscum contagiosum physical examination: Difference between revisions

Jump to navigation Jump to search
Line 25: Line 25:
*Polipoid: Occasionally, with a stalk-like base  
*Polipoid: Occasionally, with a stalk-like base  
*Visibly inflamed lesions occasionally may be seen  
*Visibly inflamed lesions occasionally may be seen  
*Diffuse erythema: May be seen due to [[Gianotti-Crosti syndrome|Gianotti-Crosti]] like eruptions  
*Diffuse erythema: May be seen due to [[Gianotti-Crosti syndrome|Gianotti-Crosti]] like eruptions
[[File:molluscum contagiosum1.jpg|right]]
 
===HEENT===
===HEENT===
* Conjunctivits<ref name="pmid17026608">{{cite journal |vauthors=Schornack MM, Siemsen DW, Bradley EA, Salomao DR, Lee HB |title=Ocular manifestations of molluscum contagiosum |journal=Clin Exp Optom |volume=89 |issue=6 |pages=390–3 |year=2006 |pmid=17026608 |doi=10.1111/j.1444-0938.2006.00073.x |url=}}</ref>:
* Conjunctivits<ref name="pmid17026608">{{cite journal |vauthors=Schornack MM, Siemsen DW, Bradley EA, Salomao DR, Lee HB |title=Ocular manifestations of molluscum contagiosum |journal=Clin Exp Optom |volume=89 |issue=6 |pages=390–3 |year=2006 |pmid=17026608 |doi=10.1111/j.1444-0938.2006.00073.x |url=}}</ref>:

Revision as of 17:44, 13 June 2017

Molluscum contagiosum Microchapters

Home

Patient Information

Overview

Historical Perspective

Classification

Pathophysiology

Causes

Differentiating Molluscum contagiosum from other Diseases

Epidemiology and Demographics

Risk Factors

Screening

Natural History, Complications and Prognosis

Diagnosis

Diagnostic criteria

History and Symptoms

Physical Examination

Laboratory Findings

X ray

Ultrasound

CT Scan

MRI

Other Imaging Studies

Other Diagnostic Studies

Treatment

Medical Therapy

Surgery

Primary Prevention

Secondary Prevention

Cost-Effectiveness of Therapy

Future or Investigational Therapies

Case Studies

Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Associate Editor(s)-in-Chief: Mahshid Mir, M.D. [2]

Overview

Patients with molluscum contagiosum usually appear good and healthy. Physical examination of patients with molluscum contagiosum is usually remarkable for skin papules that are small, shiny and firm.

Physical examination

Appearance of the Patient

Patients are usually well-appearing.

Vital Signs

All vital signs will remain normal in the usual setting of disease as the disease in immunocompetent patients is localized within the skin.

  • Normal body temperature
  • Normal pulse rate
  • Normal respiratory rate
  • Normal blood pressure

Skin

  • Skin papules:
    • Firm
    • Dome shaped
    • Shiny
    • 2 to 5 mm diameter
    • May have central indentation or umbilication
  • Polipoid: Occasionally, with a stalk-like base
  • Visibly inflamed lesions occasionally may be seen
  • Diffuse erythema: May be seen due to Gianotti-Crosti like eruptions
File:Molluscum contagiosum1.jpg

HEENT

  • Conjunctivits[1]:
    • Conjunctival erythema
    • Follicular keratoconjunctivitis with or without obvious dermal lid lesions
      • Multiple large lesions, cutaneous lesions that do not respond to standard therapy, or recurrent lesions should be a clue to evaluate patient for immunocompromicy.
  • Eyelid molluscum contagiosum
  • Intra-oral and gingival lesions

Genitourinary

  • Lesions due to sexual transmitted infection in[2]:
    • Groin
    • Genitals
    • Proximal thighs
    • Lower abdomen
  • Small round shiny papules

Extremities

  • Usually the hands and foots are the only part of body that are not involved

References

  1. Schornack MM, Siemsen DW, Bradley EA, Salomao DR, Lee HB (2006). "Ocular manifestations of molluscum contagiosum". Clin Exp Optom. 89 (6): 390–3. doi:10.1111/j.1444-0938.2006.00073.x. PMID 17026608.
  2. Gottlieb SL, Myskowski PL (1994). "Molluscum contagiosum". Int. J. Dermatol. 33 (7): 453–61. PMID 7928025.