Molluscum
Contagiosum
A DNA containing pox
virus causes these lesions. When seen in the active duty population,
they are frequently sexually transmitted. As such, they are usually
found on or near the genitalia, inner thighs, and waistline areas.
Clinically the lesions are asymptomatic 1-5 mm umbilicated milky
papules (figure 3).
Treatment is best
accomplished with destructive modalities such as liquid nitrogen,
light curettage, or light electrodessication.
The precise pinpoint
application of salicylic acid wart varnish (protecting the normal skin
with petrolatum) covered by a band aid is an alternative.
Vesicant agents, such as
cantharidin, are best avoided by primary care providers unless they
are quite experienced in the technique.
Written and revised by CAPT Dennis
A. Vidmar, MC, USN, Department of Military and Emergency
Medicine, and Department of Dermatology, Uniformed Services University
of the Health Sciences, Bethesda, MD (1999).
Additional images provided by CAPT Vidmar in
June, 2000, subsequent to the initial publication of this manual.
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Preface
· Administrative Section
· Clinical Section
The
General Medical Officer Manual , NAVMEDPUB 5134, January 1, 2000
Bureau
of Medicine and Surgery, Department of the Navy, 2300 E Street NW, Washington, D.C.,
20372-5300
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