Water warts - Molluscum contagiosum (Pediatrics - PEDS)

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It is an infection caused by a virus that mainly affects children and causes the appearance of pearly lesions on the skin.

It is caused by the Poxvirus which is transmitted by direct contact with a skin lesion or with a previously contaminated object. In adults it is transmitted by sexual contact and immunocompromised persons are more likely to become infected.

The onset of symptoms manifests with the appearance of a small papule on the face, neck, armpits, arms, hands or genitals, which later becomes a larger pinkish, pearly nodule and may be grouped in rows or mounds.

Diagnosis is based on clinical history and physical examination. In case of doubt, a biopsy may be necessary.

Sometimes the lesions disappear spontaneously, but sometimes they need to be removed by surgery or laser.

If an infection of this type is suspected, it is advisable to see a specialist for evaluation.

Bibliographic references
  1. C. L. Pimentel, L. Peramiquel, L. Puig. Molusco contagioso. Farm Prof. 2004;18(3):72-77.
  2. MedlinePlus. Rockville. 2017. Molusco contagioso; [citado el 18 de julio de 2017]. Disponible en: https://medlineplus.gov/spanish/ency/article/000826.htm
  3. CuidatePlus. Madrid. 2017. Molusco contagioso; [citado el 18 de julio de 2017]. Disponible en: http://www.cuidateplus.com/enfermedades/dermatologicas/molusco-contagioso.html
  4. UpToDate [Internet]. Waltham. 2017. Molluscum contagiosum; [citado el 18 de julio de 2017]. Disponible en: http://www.uptodate.com/contents/molluscum-contagiosum?source=search_result&search=molusco+contagioso&selectedTitle=1~45
Author
Dr. Abel Andrés Orelogio
Copyright
© TeckelMedical 2026

Symptoms

    Painless papules with a dip in the center


    Papulae in scratched areas


    Lesions join in groups, clusters and/or rows


    Itchy skin


    Skin lump less than 1 cm / 0.4 inches in diameter - Papule(s)

Symptoms to watch out for

Fever (temperature higher than 100.4 ºF)
Painful and reddened ulcer in affected area
Reddish sores that itch, break open and ooze clear fluid or pus

Self-care

Talk to your doctor about cryotherapy, scraping, or the use of retinoic acid or benzoyl peroxide.
Maintain hand and nail hygiene.
Avoid having unprotected sex.
Avoid touching the lumps.