Molluscum contagiosum

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Treatments and drugs

By Mayo Clinic staff

For people with a normal immune system, molluscum contagiosum resolves without treatment within six to 12 months, though it can sometimes take years to disappear completely. It may take longer for children whose immune systems aren't fully developed.

Because molluscum spreads easily, doctors often recommend medical treatment, especially for adults. Treatment for molluscum contagiosum may include removal of the papules by:

  • Scraping or curettage
  • Freezing (cryotherapy)
  • Laser therapy

A topical anesthetic can be prescribed before these procedures to lessen discomfort.

Medications
Medications used to remove warts also may be helpful in removing the papules. Additionally, the medication imiquimod (Aldara) has been studied for the treatment of molluscum, but it hasn't been shown to be uniformly effective.

Treating associated dermatitis
Although molluscum contagiosum typically doesn't cause itching, some people develop dermatitis or eczema around the papules. Treatment for itching caused by dermatitis may include over-the-counter 1 percent hydrocortisone creams or ointments, or prescription topical steroids. However, these medications should be applied only to the areas of dermatitis and not to the molluscum papules.

Treatment for people with a weak immune system
The disorder may be progressive and more extensive for people with certain skin disorders such as atopic eczema or for those with weakened immune systems, such as those with AIDS. People with weakened immune systems should seek professional treatment for molluscum contagiosum.

DS00672

Feb. 9, 2008

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