|Color Atlas of Pediatric Dermatology|
Section 5. Viral and Rickettsial Diseases
Topics Discussed: infectious diseases; molluscum contagiosum; rickettsia infections; virus diseases.
Sections: Molluscum Contagiosum Dermatitis, Molluscum Contagiosum Id Reaction, Verruca Vulgaris, Ring Verruca, Verruca Filiformis, Verruca Plantaris, Condyloma Acuminatum, Verruca Plana, Epidermodysplasia Verruciformis, Neonatal Herpes Simplex, Herpetic Whitlow, Herpes Simplex, Herpes Simplex, Recurrent, Herpes Progenitalis, Eczema Herpeticum (Kaposi's Varicelliform Eruption), Varicella, Congenital Varicella Syndrome, Neonatal Varicella, Herpes Zoster, Generalized Herpes Zoster, Herpes Zoster, Infantile, Hand-Foot-Mouth Disease, Complications of Vaccinia, Eczema Vaccinatum, Echovirus Disease, Exanthem Subitum (Roseola), Unilateral Laterothoracic Exanthem, Papular Acrodermatitis of Childhood (Gianotti-Crosti Syndrome), Cytomegalic Inclusion Disease, Congenital Rubella, Rubella, Measles, Atypical Measles, Rickettsialpox, Rocky Mountain Spotted Fever, Erythema Infectiosum (Fifth Disease), Papular Purpuric Sock and Glove Syndrome.
Excerpt:"This condition is a benign viral infection that appears as crops of discrete, slightly umbilicated, flesh-colored, or shiny papules. It is extremely common among children and may be seen in several children within a family. The lesions may become inflamed if traumatized or infected and sometimes become inflamed spontaneously as they resolve. Rarely is there only a solitary lesion; most commonly there are fewer than 20. However, the total number is sometimes in hundreds. The lesions tend to be grouped, and the average size of a lesion is 23 mm in diameter and height. The trunk, face, and genitalia are the most common sites of infection. Pruritus is an occasional symptom and may be the impetus for inoculating the viral infection from one area of the skin to another. Molluscum contagiosum is self-limited, but treatment is often required out of concern for appearance. Treatment should be individualized to the age and extent of involvement in each patient. Destruction of lesions with a sharp curette is the preferred mode in a cooperative child with limited disease. The child with numerous lesions poses a particular therapeutic challenge...."
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