Molluscum virus molluscum infection
Molluscum virus clinical forms:
- Forms depending on the location: a predilection for the face, trunk and limbs in children, groin and genitalia in adults
- Profuse and hyperplastic forms
- Vegetative forms: in patients with immunodeficiency, congenital or acquired, or atopic dermatitis
Molluscum infection differential Diagnosis:
- Flat warts
- Eruptive xanthomas
- Botriomycome
- Epidermal Cyst
- Condylomata acuminata in the case of genital lesions
- Disseminated eruptive in periorbital region
- Disseminated mycosis (histoplasmosis, cryptococcosis) in patients suffering from AIDS
- Boils, folliculitis in bacterial superinfection
Skin biopsy: pathologic anatomy study objective pathognomonic histological appearance: the stated diagnosis.
- Acanthotic hyperplastic epidermis, invaginated into pyriform lobules
- Cytodiagnosis: cytopathic effect of the virus on keratinocytes: eosinophilic intracytoplasmic inclusions repressing the pyknotic nucleus
Skin biopsy is indicated in the atypical patient with AIDS and in case of single, very large, non-umbilicated lesion, or altered by inflammation or unusual location (mucous membranes). The molluscum contagiosum virus is usually transmitted through direct skin contact with an infected person, but it also comes to the surrounding skin contact or by scratching. Although this is rare, it is possible to contract molluscum by indirect contact with personal belongings such as towels. The incubation period from contaminating the contact until the appearance of buttons, ranges from two weeks to six months.
Molluscum infection advice:
- Avoid overcrowding temporarily infected children with others in the baths, pool activities or the opportunity to practice sports contacts.
- Avoid sharing towels used by infected patients.
- Discoucrage scratching of molluscum: it promotes their dissemination.
- Avoid sexual contact during the period when one is carrying molluscum.
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