Spot Diagnosis

Papular eruptions on the face

Jagjit Singh Dalal1,2, Aashish Kumar1,2, Monika Dalal3,4, Tarun Kumar Sharma5
1Departments of Pediatrics, Pt. B.D. Sharma Post Graduate Institute Medical Sciences, Rohtak, Haryana, India, 2Departments of Pediatrics, Deen Dayal Hospital, New Delhi, India, 3Department of Obstetrics and Gynecology, Pt. B.D. Sharma Post Graduate Institute Medical Sciences, Rohtak, Haryana, India, 4Department of Obstetrics and Gynecology, Deen Dayal Hospital, New Delhi, India, 5Department of Biochemistry, Pt. B.D. Sharma Post Graduate Institute Medical Sciences, Rohtak, Haryana, India

Address for Correspondence: Dr. Jagjit Singh Dalal, Flat no.15, Couple Houses, Medical Enclave, PGIMS, Rohtak-125001 {Haryana}, India.
Email: drjagjitsingh@hotmail.com
Question :
Spot Diagnosis



What is the diagnosis?

Discussion :
Molluscum contagiosum {MC} is a viral infection of the skin or occasionally of the mucous membranes. It is caused by a DNA poxvirus called the molluscum contagiosum virus {MCV} This common viral disease has a higher incidence in children, sexually active adults, and those who are immunodeficient.{1} The virus commonly spreads through skin-to-skin contact. Diagnosis is made on the clinical appearance. Molluscum contagiosum lesions are flesh-coloured, dome-shaped, and pearly in appearance. They are often 1–5 millimetres in diameter, with a dimpled centre. They are generally not painful, but they may itch or become irritated {2}. Individual molluscum lesions may go away on their own and are reported as lasting generally from 6 to 8 weeks, to 2 or 3 months {3}. Pulsed dye laser therapy for molluscum contagiosum may be the treatment of choice for multiple lesions {4}.
Conflicts of interest: None
Contributors: JSD and AK are involved in the conception of idea and preparation of manuscript as well as management of patient. MD collected and compiled all data, TKS wrote the manuscript.

E-published: May 2011 Vol 8 Issue 5 Art # 29

References :
  1. Hanson D, Diven DG. Molluscum contagiosum. Dermatol Online J. 2003; 9: 2
  2. Molluscum Contagiosum. Available on website: http://www.aad.org/public/publications/pamphlets/viral_mollscum.html. Accessed on 5th February 2011
  3. Weller R, O'Callaghan CJ, MacSween RM, White MI. Scarring in Molluscum contagiosum: comparison of physical expression and phenol ablation. BMJ. 1999; 319: 1540
  4. Molluscum Contagiosum. Available at website: http://www.cks.nhs.uk/molluscum_contagiosum. Accessed on 5th February 2011

Correct Answers : yes  14%

Last Shown : May 2011
 
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