Eye Lid Molluscom contagiousm
By Dr.Satyam Kumar Maiti
7 years old girl. Diagnosis & mamagement?
By Dr.Abdullahi Abdulaziz Farah molluscum contagiosum. cut with scissor and couterization.
By Dr.Hicks Kabisa Mukubesa mollascum contegiosum …………cauterisation and systemic antibiotic cover
Molluscum contagiosum is a relatively common viral infection of the skin that results in round, firm, painless bumps ranging in size from a pinhead to a pencil eraser. If the bumps are scratched or injured, the infection can spread to surrounding skin.
Though most common in children, molluscum contagiosum can affect adults as well — particularly those with weakened immune systems. In adults with an otherwise normal immune system, molluscum contagiosum involving the genitals is considered a sexually transmitted infection.
Molluscum contagiosum spreads through direct person-to-person contact and through contact with contaminated objects. The bumps associated with molluscum contagiosum usually disappear within a year without treatment but doctor-assisted removal is also an option.
Molluscum contagiosum is caused by a viral infection. The portal of entry of the riders into the body is usually through some form of break in the skin. This occurs through direct skin to skin contact as well and can therefore be seen in individuals who share showers or athletes who share equipment in the gym.
Having low levels of immunity such as in the case of HIV virus infections can also make an individual prone to developing molluscum contagiosum. In such individuals, the lesions are a lot more widespread. In children, the condition occurs due to sharing of towels and sponges. Studies have also shown the development of molluscum contagiosum affecting the eyelids of both eyes following treatment of rheumatoid arthritis with specialist drugs such as methotrexate. Case studies have reported the eyelids being affected in children.
Treatment of molluscum contagiosum
Most cases of molluscum contagiosum tend to resolve themselves in a few months. Molluscum contagiosum that affect the eyelids may be managed conservatively without performing any intervention. However sometimes, a small amount of trauma to the lesion can help get rid of it. Another form of treatment is called curettage and involves administration of an anaesthetic agent followed by removal of the lesion completely.
Medical treatment is also available to manage molluscum contagiosum. However, detailed studies have shown that there does not appear to be any additional benefit of using these treatments (skin creams, anti-viral agents and herbal medicines) when compared to not offering the patient any treatment whatsoever.
Following the treatment, patients may require follow-up appointments to see if the lesion is recurring.