Molluscum contagiosum – parasitic skin lesions and mucous membranes of the specific virus.
Molluscum contagiosum – a chronic infection. Damage to the skin, caused by the disease may persist in a period of several months to several years, although in most cases the rash seen within six to nine months.
Molluscum contagiosum is a disease affecting only humans.

Infection occurs through direct contact with sick people healthy, but a place to be mediated by way of infection – through contaminated objects.

Adults are mainly infected with molluscum contagiosum through sexual contact, infection occurs through skin contact between partners, rather than through coitus, which is why molluscum contagiosum several international medical organizations do not belong to a group of infections, sexually transmitted diseases. Affected area during sexual intercourse is usually the groin, inner thighs, lower abdomen, external genitalia.

Upon infection through casual and localization molluscum contagiosum no tumor can be found on any parts of the skin. The presence of skin lesions and microtraumas is a favorable condition for the inoculation of the virus.

Cases are usually sporadic in nature, despite the high contagiousness of molluscum, but in kindergarten lesions may be endemic.

Factors such as overcrowding, contact with skin, moist atmosphere is favorable for dissemination. The incubation period of molluscum contagiosum is from several weeks to several months, so it is difficult to determine the source of infection. After the onset of clinical manifestations of molluscum contagiosum spreads through the body by autoinfection. Cellular immune deficiencies contribute to congenital and acquired infection in people with HIV infection incidence of molluscum contagiosum is several times higher.
After an incubation period appear on the skin tight single painless nodules round, the color of the skin, the affected molluscum contagiosum are usually not modified or acquires a pink tint, and sometimes there may be waxy or pearly luster. Further increase in the number of elements is molluscum contagiosum due to autoinfection.Size of lesions on millet grain to a pea, sometimes at the confluence of elements can form giant molluscum contagiosum, they have the form of hemispherical papules with sunken central part.
Most often, pimples, which are the immediate signs of this disease in children localized on the face, trunk and extremities in adults – in the genital area, the abdomen and inner thighs.
Most often, pimples:
- Do not cause pain, but the itch;
- Small (2 to 5 mm in diameter);
- Have a dimple in the center;
- At first dense, dome-shaped, flesh-colored;
- With time becoming softer;
- Have a core of white, waxy material.
Nodules on the body are everywhere, but since the second stage of molluscum contagiosum autoinfection occurs through the hands, the affected skin areas that were most frequently touched. This is the face, neck, upper torso and actually own hands.

Molluscum contagiosum eruptions are chaotic in nature, and the number of times up to several hundred, rubbing the hands and increase the number of involuntary scratching dissemination.

When pressed with tweezers or accidental damage molluscum contagiosum it stands out from the white kashetseobraznaya mass, which consists of dead cells and lymphocytes. But it also contained inclusion mollyuskoobraznyh cells, allowing the disease got its name.

There are no subjective sensations are not available, but some patients have molluscum contagiosum patients noted itching and little infiltration, which occurs when connecting a secondary infection.

In atypical forms of molluscum contagiosum characteristic concave center on the rash may not be, but the elements themselves can be very small sizes. Profuse forms of molluscum contagiosum in children diagnosed with atopic dermatitis in children with leukemia and immune deficiencies, as well as in HIV-positive patients.

As a rule, for molluscum contagiosum is without complications, there may be aseptic and purulent abscess around the affected area. In very rare cases, superinfection, after which the scars remain.
The consequences of molluscum contagiosum
Molluscum contagiosum – a disease that does not cause serious consequences, but when the signs of molluscum contagiosum should contact your doctor.

First, because molluscum contagiosum in the eyes of a layman can easily be confused with other similar symptoms of illness, some of which are very serious (eg, syphilis). Consequently, when signs of molluscum contagiosum, skin and venereal diseases physician must make a differential diagnosis.

And secondly, molluscum contagiosum symptoms suggests that the human immune system is weakened. This, in turn, can be caused by the presence in the body of other infections. So if you have symptoms of molluscum contagiosum patient should be assessed for all infections, sexually transmitted infections, including HIV.

DiagnostikaDiagnoz no difficulty. It is mainly based on clinical presentation, in doubtful cases confirmed by histological examination (detection of shellfish bodies in the cytoplasm of epidermal cells).
Microscopic examination of the contents of nodules detected dead skin cells and a large number of peculiar, typical for this disease ovoid (shellfish) cells. According to histological studies, the inclusion formed in the basal layers of the epithelium. They gradually increase in size, crowding the nucleus to the side and fill in a cage.
The differential diagnosis is carried out with warts, lichen planus, multiple form keratoakantomy, epithelioma.

Treatment and profilaktikaEsli the survey found that the patient’s skin is really impressed by this type of rash, but does not include benign or malignant neoplasms, the treatment of molluscum contagiosum is not required. About 6 months initially need a healthy body to battle the symptoms of the virus, and most Dermatoveperologs rely on self-healing without drugs.

To expedite the process, depending on the stage of disease, severity of symptoms and the patient’s immune status, medical stop at one of several methods of treatment of molluscum contagiosum.

There are four main methods of treatment of molluscum contagiosum.
A specific method can only select a physician in a particular case:
A. Mechanical squeezing nodules (sharp scraping with a spoon), followed by treatment with surface area of ​​5% alcoholic solution of iodine;
Two. Diathermocoagulation or burning;
Three. Treatment with antiviral and immunomodulatory ointments.
4. In the presence of a very large number of nodules (generalized forms of molluscum contagiosum) should be prescribed tetracycline antibiotics (tetracycline, oletetrin, metatsiklin, doxycycline, chlortetracycline).

Clam treated at home should not be for several reasons:

- First, it can be confused with benign or malignant tumors of the skin and can dramatically worsen the self-affliction.

- Second, since some forms of shellfish occur in conjunction with AIDS require special examination and treatment. Removal of local produce using liquid nitrogen or dry ice.

The complexity of infection control is that this virus contains DNA. Thus, modern medicine makes it impossible to get rid of it completely. The disease is chronic.Nevertheless, to avoid recurrence is quite real. Of course, this requires constant care and regular monitoring by a doctor.

 

The main methods of dealing with symptoms related to the overall strengthening of the immune system. It is the weakening of immunity relapse.
During the entire period of treatment is medical supervision by a specialist dermatologist. Only after the symptoms disappear molluscum contagiosum, a person can return to sexual activity. Since there is a domestic route of infection, should avoid the use of linen, bed and bath the patient. For the same reason, the detection of the virus from one family member recommended by the survey and the other in the first person with whom the patient is in an intimate relationship.
Since the causative agent of molluscum contagiosum is a DNA virus, it is impossible to achieve complete cure, but modern techniques can achieve long-term impact and stable remission.