Molluscum contagiosum physical examination: Difference between revisions

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===Vital Signs===
===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.
*Within normal limits.
*Normal body temperature
*Normal pulse rate
*Normal respiratory rate
*Normal blood pressure


===Skin===
===Skin===
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*[[Erythema|Diffuse erythema]]: May be seen due to [[Gianotti-Crosti syndrome|Gianotti-Crosti]] like eruptions
*[[Erythema|Diffuse erythema]]: May be seen due to [[Gianotti-Crosti syndrome|Gianotti-Crosti]] like eruptions
[[File:Molluscumcontagiosum1.jpg|500px]]
[[File:Molluscumcontagiosum1.jpg|500px]]
<br style="clear: right" />
<br style="clear: left" />
[[File:Molluscaklein.jpg|500px]]
[[File:Molluscaklein.jpg|500px]]
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===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>:
* [[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 erythema
** [[Conjunctival injection|Conjunctival erythema]]
** Follicular keratoconjunctivitis with or without obvious dermal lid lesions
** [[Keratoconjunctivitis|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.
*** Multiple large lesions that do not respond to standard therapy or recurrent lesions are suggestive of immunocompromise.
* Eyelid molluscum contagiosum
* [[Eyelid]] lesions
* Intra-oral and gingival lesions
* Intra-[[oral]] and [[Gingiva|gingival]] lesions


===Genitourinary===
===Genitourinary===
*Lesions due to sexual transmitted infection 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>:
*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>:
**Groin
**[[Groin]]
**Genitals
**[[Genitals]]
**Proximal thighs
**[[Proximal]] thighs
**Lower abdomen  
**Lower [[abdomen]]
*Small round shiny papules
*Small round shiny [[papules]]
===Extremities===
===Extremities===
*Usually the hands and foots are the only part of body that are not involved
*The hands and feet are the only part of body that are typically not involved in molluscum contagiosum infection.


==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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