Molluscum contagiosum physical examination: Difference between revisions

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__NOTOC__
__NOTOC__
{{Molluscum contagiosum}}
{{Molluscum contagiosum}}
{{CMG}}; {{AE}}{{JH}}.
{{CMG}}; {{AE}}{{MIR}}
==Overview==
Patients with molluscum contagiosum usually appear well and healthy. Physical examination of patients with molluscum contagiosum is usually remarkable for skin papules that are small, shiny, and firm.
 
==Physical examination==
==Physical examination==
===Appearance of the Patient===
* Patients are usually well-appearing.


===Gallery===
===Vital Signs===
 
*Within normal limits.
====Skin====
 
<gallery>
 
Image: Molluscum_contagiosum_01.jpg| Molluscum_contagiosum. <SMALL><SMALL>''[http://www.atlasdermatologico.com.br/disease.jsf?diseaseId=12  With permission from Dermatology Atlas.]''<ref name="www.atlasdermatologico.com.br">{{Cite web | title = Dermatology Atlas | url = http://www.atlasdermatologico.com.br/disease.jsf?diseaseId=295>
 
Image: Molluscum_contagiosum_05.jpeg| Molluscum_contagiosum. <SMALL><SMALL>''[http://www.atlasdermatologico.com.br/disease.jsf?diseaseId=12  With permission from Dermatology Atlas.]''<ref name="www.atlasdermatologico.com.br">{{Cite web | title = Dermatology Atlas | url = http://www.atlasdermatologico.com.br/disease.jsf?diseaseId=295>
 
Image: Molluscum_contagiosum_06.jpg| Molluscum_contagiosum. <SMALL><SMALL>''[http://www.atlasdermatologico.com.br/disease.jsf?diseaseId=12  With permission from Dermatology Atlas.]''<ref name="www.atlasdermatologico.com.br">{{Cite web | title = Dermatology Atlas | url = http://www.atlasdermatologico.com.br/disease.jsf?diseaseId=295>


Image: Molluscum_contagiosum_08.jpeg| Molluscum_contagiosum. <SMALL><SMALL>''[http://www.atlasdermatologico.com.br/disease.jsf?diseaseId=12  With permission from Dermatology Atlas.]''<ref name="www.atlasdermatologico.com.br">{{Cite web | title = Dermatology Atlas | url = http://www.atlasdermatologico.com.br/disease.jsf?diseaseId=295>
===Skin===
*Skin papules:
**Firm
**Dome shaped
**Shiny
**2 to 5 mm diameter
**May have central indentation or umbilication
*Polypoid lesion: Occasionally, with a stalk-like base
*Visibly inflamed lesions occasionally may be seen
*[[Erythema|Diffuse erythema]]: May be seen due to [[Gianotti-Crosti syndrome|Gianotti-Crosti]] like eruptions
[[File:Molluscumcontagiosum1.jpg|500px]]
<br style="clear: left" />
[[File:Molluscaklein.jpg|500px]]


Image: Molluscum_contagiosum_09.jpg| Molluscum_contagiosum. <SMALL><SMALL>''[http://www.atlasdermatologico.com.br/disease.jsf?diseaseId=12  With permission from Dermatology Atlas.]''<ref name="www.atlasdermatologico.com.br">{{Cite web | title = Dermatology Atlas | url = http://www.atlasdermatologico.com.br/disease.jsf?diseaseId=295>
===HEENT===
* [[Conjunctivitis|Conjunctivitis]]<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>:
** [[Conjunctival injection|Conjunctival erythema]]
** [[Keratoconjunctivitis|Follicular keratoconjunctivitis]] with or without obvious dermal lid lesions
*** Multiple large lesions that do not respond to standard therapy or recurrent lesions are suggestive of immunocompromise.
* [[Eyelid]] lesions
* Intra-[[oral]] and [[Gingiva|gingival]] lesions


Image: Molluscum_contagiosum_15.jpg| Molluscum_contagiosum. <SMALL><SMALL>''[http://www.atlasdermatologico.com.br/disease.jsf?diseaseId=12  With permission from Dermatology Atlas.]''<ref name="www.atlasdermatologico.com.br">{{Cite web | title = Dermatology Atlas | url = http://www.atlasdermatologico.com.br/disease.jsf?diseaseId=295>
===Genitourinary===
 
*Lesions due to sexual transmitted infection typical appear in<ref name="pmid7928025">{{cite journal |vauthors=Gottlieb SL, Myskowski PL |title=Molluscum contagiosum |journal=Int. J. Dermatol. |volume=33 |issue=7 |pages=453–61 |year=1994 |pmid=7928025 |doi= |url=}}</ref>:
Image: Molluscum_contagiosum_16.jpg| Molluscum_contagiosum. <SMALL><SMALL>''[http://www.atlasdermatologico.com.br/disease.jsf?diseaseId=12  With permission from Dermatology Atlas.]''<ref name="www.atlasdermatologico.com.br">{{Cite web | title = Dermatology Atlas | url = http://www.atlasdermatologico.com.br/disease.jsf?diseaseId=295>
**[[Groin]]
 
**[[Genitals]]
Image: Molluscum_contagiosum_19.jpg| Molluscum_contagiosum. <SMALL><SMALL>''[http://www.atlasdermatologico.com.br/disease.jsf?diseaseId=12  With permission from Dermatology Atlas.]''<ref name="www.atlasdermatologico.com.br">{{Cite web | title = Dermatology Atlas | url = http://www.atlasdermatologico.com.br/disease.jsf?diseaseId=295>
**[[Proximal]] thighs
 
**Lower [[abdomen]]  
Image: Molluscum_contagiosum_20.jpg| Molluscum_contagiosum. <SMALL><SMALL>''[http://www.atlasdermatologico.com.br/disease.jsf?diseaseId=12  With permission from Dermatology Atlas.]''<ref name="www.atlasdermatologico.com.br">{{Cite web | title = Dermatology Atlas | url = http://www.atlasdermatologico.com.br/disease.jsf?diseaseId=295>
*Small round shiny [[papules]]
 
===Extremities===
Image: Molluscum_contagiosum_21.jpeg| Molluscum_contagiosum. <SMALL><SMALL>''[http://www.atlasdermatologico.com.br/disease.jsf?diseaseId=12  With permission from Dermatology Atlas.]''<ref name="www.atlasdermatologico.com.br">{{Cite web | title = Dermatology Atlas | url = http://www.atlasdermatologico.com.br/disease.jsf?diseaseId=295>
*The hands and feet are the only part of body that are typically not involved in molluscum contagiosum infection.
 
Image: Molluscum_contagiosum_23.jpg| Molluscum_contagiosum. <SMALL><SMALL>''[http://www.atlasdermatologico.com.br/disease.jsf?diseaseId=12  With permission from Dermatology Atlas.]''<ref name="www.atlasdermatologico.com.br">{{Cite web | title = Dermatology Atlas | url = http://www.atlasdermatologico.com.br/disease.jsf?diseaseId=295>
 
Image: Molluscum_contagiosum_25.jpg| Molluscum_contagiosum. <SMALL><SMALL>''[http://www.atlasdermatologico.com.br/disease.jsf?diseaseId=12  With permission from Dermatology Atlas.]''<ref name="www.atlasdermatologico.com.br">{{Cite web | title = Dermatology Atlas | url = http://www.atlasdermatologico.com.br/disease.jsf?diseaseId=295>
 
</gallery>
 
====Head====
 
<gallery>
 
Image: Molluscum_contagiosum_03.jpg| Molluscum_contagiosum. <SMALL><SMALL>''[http://www.atlasdermatologico.com.br/disease.jsf?diseaseId=12  With permission from Dermatology Atlas.]''<ref name="www.atlasdermatologico.com.br">{{Cite web | title = Dermatology Atlas | url = http://www.atlasdermatologico.com.br/disease.jsf?diseaseId=295>
 
Image: Molluscum_contagiosum_04.jpeg| Molluscum_contagiosum. <SMALL><SMALL>''[http://www.atlasdermatologico.com.br/disease.jsf?diseaseId=12  With permission from Dermatology Atlas.]''<ref name="www.atlasdermatologico.com.br">{{Cite web | title = Dermatology Atlas | url = http://www.atlasdermatologico.com.br/disease.jsf?diseaseId=295>
 
Image: Molluscum_contagiosum_10.jpg| Molluscum_contagiosum. <SMALL><SMALL>''[http://www.atlasdermatologico.com.br/disease.jsf?diseaseId=12  With permission from Dermatology Atlas.]''<ref name="www.atlasdermatologico.com.br">{{Cite web | title = Dermatology Atlas | url = http://www.atlasdermatologico.com.br/disease.jsf?diseaseId=295>
 
Image: Molluscum_contagiosum_11.jpeg| Molluscum_contagiosum. <SMALL><SMALL>''[http://www.atlasdermatologico.com.br/disease.jsf?diseaseId=12  With permission from Dermatology Atlas.]''<ref name="www.atlasdermatologico.com.br">{{Cite web | title = Dermatology Atlas | url = http://www.atlasdermatologico.com.br/disease.jsf?diseaseId=295>
 
Image: Molluscum_contagiosum_13.jpg| Molluscum_contagiosum. <SMALL><SMALL>''[http://www.atlasdermatologico.com.br/disease.jsf?diseaseId=12  With permission from Dermatology Atlas.]''<ref name="www.atlasdermatologico.com.br">{{Cite web | title = Dermatology Atlas | url = http://www.atlasdermatologico.com.br/disease.jsf?diseaseId=295>
 
Image: Molluscum_contagiosum_18.jpg| Molluscum_contagiosum. <SMALL><SMALL>''[http://www.atlasdermatologico.com.br/disease.jsf?diseaseId=12  With permission from Dermatology Atlas.]''<ref name="www.atlasdermatologico.com.br">{{Cite web | title = Dermatology Atlas | url = http://www.atlasdermatologico.com.br/disease.jsf?diseaseId=295>
 
</gallery>
 
====Eyes====
 
<gallery>
 
Image: Molluscum_contagiosum_12.jpg| Molluscum_contagiosum. <SMALL><SMALL>''[http://www.atlasdermatologico.com.br/disease.jsf?diseaseId=12  With permission from Dermatology Atlas.]''<ref name="www.atlasdermatologico.com.br">{{Cite web | title = Dermatology Atlas | url = http://www.atlasdermatologico.com.br/disease.jsf?diseaseId=295>
 
</gallery>
 
====Genitalia====
 
<gallery>
 
Image: Molluscum_contagiosum_02.jpg| Molluscum_contagiosum. <SMALL><SMALL>''[http://www.atlasdermatologico.com.br/disease.jsf?diseaseId=12  With permission from Dermatology Atlas.]''<ref name="www.atlasdermatologico.com.br">{{Cite web | title = Dermatology Atlas | url = http://www.atlasdermatologico.com.br/disease.jsf?diseaseId=295>
 
Image: Molluscum_contagiosum_07.jpg| Molluscum_contagiosum. <SMALL><SMALL>''[http://www.atlasdermatologico.com.br/disease.jsf?diseaseId=12  With permission from Dermatology Atlas.]''<ref name="www.atlasdermatologico.com.br">{{Cite web | title = Dermatology Atlas | url = http://www.atlasdermatologico.com.br/disease.jsf?diseaseId=295>
 
Image: Molluscum_contagiosum_14.jpg| Molluscum_contagiosum. <SMALL><SMALL>''[http://www.atlasdermatologico.com.br/disease.jsf?diseaseId=12  With permission from Dermatology Atlas.]''<ref name="www.atlasdermatologico.com.br">{{Cite web | title = Dermatology Atlas | url = http://www.atlasdermatologico.com.br/disease.jsf?diseaseId=295>
 
Image: Molluscum_contagiosum_22.jpg| Molluscum_contagiosum. <SMALL><SMALL>''[http://www.atlasdermatologico.com.br/disease.jsf?diseaseId=12  With permission from Dermatology Atlas.]''<ref name="www.atlasdermatologico.com.br">{{Cite web | title = Dermatology Atlas | url = http://www.atlasdermatologico.com.br/disease.jsf?diseaseId=295>
 
Image: Molluscum_contagiosum_24.jpg| Molluscum_contagiosum. <SMALL><SMALL>''[http://www.atlasdermatologico.com.br/disease.jsf?diseaseId=12  With permission from Dermatology Atlas.]''<ref name="www.atlasdermatologico.com.br">{{Cite web | title = Dermatology Atlas | url = http://www.atlasdermatologico.com.br/disease.jsf?diseaseId=295>
 
Image: Molluscum_contagiosum_26.jpg| Molluscum_contagiosum. <SMALL><SMALL>''[http://www.atlasdermatologico.com.br/disease.jsf?diseaseId=12  With permission from Dermatology Atlas.]''<ref name="www.atlasdermatologico.com.br">{{Cite web | title = Dermatology Atlas | url = http://www.atlasdermatologico.com.br/disease.jsf?diseaseId=295>
 
Image: Molluscum_contagiosum_27.jpeg| Molluscum_contagiosum. <SMALL><SMALL>''[http://www.atlasdermatologico.com.br/disease.jsf?diseaseId=12  With permission from Dermatology Atlas.]''<ref name="www.atlasdermatologico.com.br">{{Cite web | title = Dermatology Atlas | url = http://www.atlasdermatologico.com.br/disease.jsf?diseaseId=295>
 
</gallery>


==References==
==References==
{{reflist|2}}
{{reflist|2}}
[[Category:Emergency mdicine]]
[[Category:Disease]]
[[Category:Up-To-Date]]
[[Category:Infectious disease]]
[[Category:Dermatology]]
[[Category:Otolaryngology]]

Latest revision as of 22:45, 29 July 2020

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 well 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

  • Within normal limits.

Skin

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


HEENT

Genitourinary

Extremities

  • The hands and feet are the only part of body that are typically not involved in molluscum contagiosum infection.

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.
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