Molluscum contagiosum physical examination
Molluscum contagiosum Microchapters |
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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
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
- ↑ 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.
- ↑ Gottlieb SL, Myskowski PL (1994). "Molluscum contagiosum". Int. J. Dermatol. 33 (7): 453–61. PMID 7928025.