Molluscum contagiosum history and symptoms: Difference between revisions

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==Overview==
==Overview==
The hallmark of [disease name] is [finding]. A positive history of [finding 1] and [finding 2] are suggestive of [disease name]. The most common symptoms of [disease name] include [symptom 1], [symptom 2], and [symptom 3].  Less common symptoms of [disease name] include [symptom 1], [symptom 2], and [symptom 3]. A positive family history of [disease/malignancy] may be present.  
The hallmark of molluscum contagiosum is 2 to 5 mm in diameter lesions that spares hand and foot. A positive history of swimming-pool attendance<ref name="pmid19880360">{{cite journal |vauthors=Monteagudo B, Cabanillas M, Acevedo A, de Las Heras C, Pérez-Pérez L, Suárez-Amor O, Ginarte M |title=[Molluscum contagiosum: descriptive study] |language=Spanish; Castilian |journal=An Pediatr (Barc) |volume=72 |issue=2 |pages=139–42 |year=2010 |pmid=19880360 |doi=10.1016/j.anpedi.2009.09.008 |url=}}</ref>, sexual multipartnership <ref name="pmid16384754">{{cite journal |vauthors=Dohil MA, Lin P, Lee J, Lucky AW, Paller AS, Eichenfield LF |title=The epidemiology of molluscum contagiosum in children |journal=J. Am. Acad. Dermatol. |volume=54 |issue=1 |pages=47–54 |year=2006 |pmid=16384754 |doi=10.1016/j.jaad.2005.08.035 |url=}}</ref>, and endemic infection are suggestive of molluscum contagiosum. The most common symptoms of molluscum contagiosum include shiny surface skin lesions, maybe associated with [[erythema]] around the lesion and [[pruritis]].  Less common symptoms of molluscum contagiosum include [[conjunctivitis]], and [[erythema]] in all the body.  


==History==
==History==
Molluscum contagiosum lesions are flesh-colored, dome-shaped, and pearly in appearance.  They are often 1-5 millimeters in diameter, with a dimpled center. They are generally not painful, but they may itch or become irritated. Picking or scratching the bumps may lead to further infection or scarring. In about 10% of the cases, [[eczema]] develops around the lesions.  They may occasionally be complicated by secondary bacterial infections.
Molluscum contagiosum is a clinical diagnosis.  Since molluscum contagiosum is more common in children, a history is elicited from parents, caregivers, or other family members. Specific areas of focus when obtaining the history include:
 
*Onset of symptoms ([[Acute (medicine)|acute]] or [[Chronic (medical)|chronic]])
The central waxy core contains the [[virus]].  In a process called [[autoinoculation]], the virus may spread to neighboring skin areas.  Children are particularly susceptible to auto-inoculation, and may have widespread clusters of lesions.
*Duration to lesion resolution
 
*Progression or spread of lesions
The typical clinical presentation consists of small, umbilicated, skin-colored, pearly papules with a predilection of the trunk, axillae, antecubital, and popliteal fossae and genital area.<ref name="pmid25161331">{{cite journal |vauthors=Kalasannavar SB, Sawalgimath MP |title=Molluscum contagiosum: A novel Ayurvedic approach |journal=Anc Sci Life |volume=33 |issue=1 |pages=49–51 |year=2013 |pmid=25161331 |pmc=4140023 |doi=10.4103/0257-7941.134606 |url=}}</ref>
*Associated symptoms such as [[pruritis]] and [[erythema]]
 
*History of [[atopic dermatitis]]
*History of sexual activity especially multi-partner sexual relationship (in older patients)
*Co-morbid conditions like [[immunodeficiency]]
*History of using a public swimming pool
*History of sharing sports equipment
*History of sharing personal items
*History of [[Immunosuppresive drug|immunosuppresant]] use
== Common Symptoms ==
== Common Symptoms ==
* Round, shiny, small (2-6 mm) lesions
* [[Pruritus]]
* Ocular (eye) pain
* Skin aesthesia<ref name="pmid14350041">{{cite journal |vauthors=CURTIN BJ, THEODORE FH |title=Ocular molluscum contagiosum |journal=Am. J. Ophthalmol. |volume=39 |issue=3 |pages=302–7 |year=1955 |pmid=14350041 |doi= |url=}}</ref>
* Lesions sometimes may be visibly [[inflamed]]
* Lesion distribution:
** Can infect all the body surface except the palms and soles
** Most common infected areas are [[trunk]], [[axillae]], [[Antecubital fossa|antecubital]] and [[popliteal fossa]], and [[Crural fascia|crural]] folds<ref name="pmid25161331">{{cite journal |vauthors=Kalasannavar SB, Sawalgimath MP |title=Molluscum contagiosum: A novel Ayurvedic approach |journal=Anc Sci Life |volume=33 |issue=1 |pages=49–51 |year=2013 |pmid=25161331 |pmc=4140023 |doi=10.4103/0257-7941.134606 |url=}}</ref>


== Less Common Symptoms ==
== Less Common Symptoms ==
* [[Oral mucosa|Oral mucosal]] involvement with the presentation of:
** [[Dysphagia]]
** Pain <ref name="pmid11552151">{{cite journal |vauthors=Fornatora ML, Reich RF, Gray RG, Freedman PD |title=Intraoral molluscum contagiosum: a report of a case and a review of the literature |journal=Oral Surg Oral Med Oral Pathol Oral Radiol Endod |volume=92 |issue=3 |pages=318–20 |year=2001 |pmid=11552151 |doi=10.1067/moe.2001.117299 |url=}}</ref>
* Wide spread, large (>6 mm) lesions
** Characteristic of [[immunocompromised]] patients


==References==
==References==
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{{reflist|2}}
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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

The hallmark of molluscum contagiosum is 2 to 5 mm in diameter lesions that spares hand and foot. A positive history of swimming-pool attendance[1], sexual multipartnership [2], and endemic infection are suggestive of molluscum contagiosum. The most common symptoms of molluscum contagiosum include shiny surface skin lesions, maybe associated with erythema around the lesion and pruritis. Less common symptoms of molluscum contagiosum include conjunctivitis, and erythema in all the body.

History

Molluscum contagiosum is a clinical diagnosis. Since molluscum contagiosum is more common in children, a history is elicited from parents, caregivers, or other family members. Specific areas of focus when obtaining the history include:

  • Onset of symptoms (acute or chronic)
  • Duration to lesion resolution
  • Progression or spread of lesions
  • Associated symptoms such as pruritis and erythema
  • History of atopic dermatitis
  • History of sexual activity especially multi-partner sexual relationship (in older patients)
  • Co-morbid conditions like immunodeficiency
  • History of using a public swimming pool
  • History of sharing sports equipment
  • History of sharing personal items
  • History of immunosuppresant use

Common Symptoms

Less Common Symptoms

References

  1. ↑ Monteagudo B, Cabanillas M, Acevedo A, de Las Heras C, Pérez-Pérez L, Suárez-Amor O, Ginarte M (2010). "[Molluscum contagiosum: descriptive study]". An Pediatr (Barc) (in Spanish; Castilian). 72 (2): 139–42. doi:10.1016/j.anpedi.2009.09.008. PMID 19880360.
  2. ↑ Dohil MA, Lin P, Lee J, Lucky AW, Paller AS, Eichenfield LF (2006). "The epidemiology of molluscum contagiosum in children". J. Am. Acad. Dermatol. 54 (1): 47–54. doi:10.1016/j.jaad.2005.08.035. PMID 16384754.
  3. ↑ CURTIN BJ, THEODORE FH (1955). "Ocular molluscum contagiosum". Am. J. Ophthalmol. 39 (3): 302–7. PMID 14350041.
  4. ↑ Kalasannavar SB, Sawalgimath MP (2013). "Molluscum contagiosum: A novel Ayurvedic approach". Anc Sci Life. 33 (1): 49–51. doi:10.4103/0257-7941.134606. PMC 4140023. PMID 25161331.
  5. ↑ Fornatora ML, Reich RF, Gray RG, Freedman PD (2001). "Intraoral molluscum contagiosum: a report of a case and a review of the literature". Oral Surg Oral Med Oral Pathol Oral Radiol Endod. 92 (3): 318–20. doi:10.1067/moe.2001.117299. PMID 11552151.


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