Patient having these popular lesions on trunk, extensor surfaces of limbs since 6 months associated with itching and no other symptoms. Mollascum ruled out

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I agree... DDs Molluscum contagiosum, cryptococcosis

?? Molluscum contagiosum HIV status? Ddx - cryptococcosis , if pt is immunocopromised, should be kept in mind.

Just re read your history doc..Ruled out molluscum contagiosum? - did u do any tests Or tried enucleation ? Few lesions are showing umbilication so that was my 1st dd. Kindly rule out IC status , if not done.
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clinical appearance. ..excisional biopsy by molluscume bodies in the epidermis above the stratum cornium ... Abandant granular eosinophilic cytoplasm and small peripheral nucleus But it is difficult to instill a permanent immunity to the virus (1) Astringent chemical applied to the surface of molluscume lessons to destroy successive layer of the skin. .include Potassium hydrochloride (2) imiquimod. .a form of immunotherapy (3) surgery ...cryosurgery liquid nitrogen is used to freeze and destroy lesions (4) Laser ....pulsed dye laser therapy may be used

agree with u Dr sharma
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this is lookl like molluscum contagiosum but to confirm some other investigation do nd hiv must...nd in ulceration. .nd start treatment wd broad spectrum antibiotics wd antihistamines ...

Molluscum contagiosum

Molluscum contagiosm Rx antihistamine and broad spectrum antibiotic for 7 days

Molluscum Contagiosum What Is Molluscum Contagiosum? Molluscum contagiosum is a skin infection that is caused by a virus. The virus, called the molluscum virus, produces benign raisedlesions, or bumps, on the upper layers of your skin. The small bumps usually are painless. They disappear on their own and rarely leave scars when left untreated. The length of time the virus lasts varies for each person, but the bumps can last from two months up to four years. Molluscum contagiosum is spread by direct contact with the lesion of an infected person or by contact with a contaminated object such as towels or piece of clothing. Medication and surgical treatments are available, but in most cases, treatment is not necessary. The virus can be more difficult to treat if you have a weakened immune system. Causes of Molluscum Contagiosum You can contract molluscum contagiosum by touching the lesions on the skin of an infected person. Children can contract the virus during normal play with other children. Teens and adults are more likely to become infected through sexual contact. You can also become infected during contact sportssuch as wrestling or footballthat involve bare skin interactions. The molluscum virus can survive on surfaces that have been touched by the skin of an infected person. Therefore, its possible to contract the virus by handling towels, clothing, toys, or other items that have been contaminated. Molluscum contagiosum also can be transferred by shared sports equipment where an athletes bare skin comes in contact with the object. The virus can be left and passed to the next person on items such as baseball gloves, wrestling mats, and football helmets. If you have this condition, you can spread the infection throughout your body. You can transfer the virus from one part of your body to another by touching, scratching, or shaving a bump and then touching another part of your body. Symptoms of Molluscum Contagiosum If you or your child comes in contact with the molluscum virus, you may not see symptoms of infection for up to six months. The average incubation period is between two and seven weeks. You may notice the appearance of a small group of painless lesions. These bumps may appear alone or in a patch of as many as 20. They usually are: very small, shiny, and smooth in appearanceflesh-colored, white, or pinkfirm and dome-shaped with a dent or dimple in the middlefilled with a central core of waxy materialbetween 2 millimeters (the size of the head of a pin) and 5 millimeters (the size of an eraser on the top of a pencil) in diameterfound anywhere except on the palms of your hands or the soles of your feetusually present on the face, abdomen, torso, arms, and legslocated on the inner thigh, genitals, or abdomen in adults However, if you have a weakened immune system, you may have symptoms that are more significant. Lesions may be as large as 15 millimeters in diameter, which is about the size of a dime. The bumps appear more often on your face and are typically resistant to treatment. Treatment of Molluscum Contagiosum In most cases, if you have a normal immune system, it will not be necessary to treat the lesions caused by molluscum contagiosum. The bumps will fade away without intervention. However, some circumstances may justify the need for treatment. If your lesions are large and located on your face and neck, if you have an existing skin disease such as atopic dermatitis, or if you have serious concerns about spreading the virus, you might be a candidate for treatment. The most effective treatments for molluscum contagiosum are performed by a healthcare provider and include: cryotherapyliquid nitrogen is used to freeze each bumpcurettagea small tool is used to pierce the bump and scrape it off the skinlaser therapya laser is used to destroy each bumptopical therapycreams containing acids or chemicals are applied to the bumps to induce peeling of the top layers of the skin In some cases, these techniques can be painful and cause scarring. Anesthesia may also be necessary. Since these methods involve treating each bump, a procedure may require more than one session. If you have many large bumps, re-treatment may be necessary every three to six weeks until the bumps disappear. New bumps may appear as the existing ones are treated

very good analysis, thanks
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looks like molluscum? If there is itching none of the lesions have burst ?Did u puncture any of the lesion ?what was the contents?

Agree with Dr Supriya.. Looks like molluscum Contagiosum..HIV status is a must for this patient

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