Water warts - Molluscum contagiosum (Paediatrics)

Very low urgency
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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 a previously contaminated object. In adults it is transmitted through sexual contact and immunosuppressed people are more likely to get it.

Symptoms start with the appearance of a small papule on the face, neck, armpits, arms, hands or genitals, which then becomes a larger pink and pearly nodule and may group in rows or clusters.

Diagnosis is based on history and physical examination. If there is any doubt, a biopsy may be needed.

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

If you suspect this type of infection, it is advisable to see a specialist for assessment.

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 papulae with a dip in the centre


    Papulae in scratched areas


    Lesions join in groups, clusters and/or rows


    Itchy skin


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

Symptoms to watch out for

Fever (temperature higher than 38 ºC)
Reddened and painful ulcer in the affected area
Reddish sores that are itchy, break open, and ooze clear fluid or pus

Self-care

Check with your general practitioner about the prescription for cryotherapy, curettage, retinoic acid or benzoyl peroxide.
Maintain the hygiene of both hands and nails.
Avoid having sexual intercourse without protection.
Avoid touching the lumps.