#Pinpoint red dots on skin baby full

See the General Medical Council’s guidance on Good practice in prescribing and managing medicines and devices 6 for further information.) If the patient is immunocompromised (in these cases the mollusca can take years to clear), if the mollusca are extensive and painful, or if there is diagnostic uncertainty, the patient should be referred to a dermatologist for advice and treatment. Informed consent should be obtained and documented.

#Pinpoint red dots on skin baby full

2 (NB at the time of publication, imiquimod was not licensed for molluscum contagiosum the prescriber should follow relevant professional guidance, taking full responsibility for all clinical decisions. Imiquimod and sinecatechins are also sometimes used but both are unproven. hydrogen peroxide cream), cantharidin solution, podophyllotoxin cream, and wart paints such as salicylic acid. Medical treatments include antiseptics (e.g. Physical treatments include cryotherapy, picking out the central white core, curettage, and laser ablation. Itching should be managed with an emollient or a mild steroid, and infection should be managed with topical fusidic acid 2%. Eczematous complications can be common, especially in children with atopy, and should be treated promptly. General advice is to reassure that molluscum contagiosum is a self-limiting condition, and to avoid squeezing/scratching the lesions and sharing towels, clothing, and baths. conjunctivitis (if the eye is involved).4 Complications can arise and should be treated these include: 2 2 A Cochrane review determined that no single intervention had been shown to be convincingly effective, 5 so treatment is not usually recommended in primary care.

4 In children, about 50% of cases clear after 12 months and two-thirds after 18 months. The lesions will typically resolve within 1–2 years and do not usually cause symptoms. Diagnosis may occasionally be made on skin biopsy. 2ĭiagnosis is generally elucidated by clinical examination, looking for the characteristic papules. They tend to be found in warm, moist places such as the armpit, groin, genital areas, and behind the knees, but do not occur on palms or soles. As the papules resolve they may become inflamed or scabby for a week or two. Mollusca frequently induce dermatitis around them, which can become itchy and pink. The number of papules can vary from a few to hundreds. They often have a waxy and shiny look with a central pit. 3 The papules range from 1–6 mm and may be white, brown, or pink. The molluscum contagiosum virus causes characteristic skin lesions that appear as single, or often multiple, dome-shaped papules (see Figure 1). sharing towels), and autoinoculation (e.g. It mainly affects children under the age of 10 years, and the infection can spread in several ways, including direct skin-to-skin contact, indirect contact (e.g. 1 There are at least four viral subtypes. The diagnosis here is molluscum contagiosum-a common skin condition caused by a member of the poxvirus family. On examination, the spots are firm, raised, and have a little dimple in the middle. She made an appointment as she noticed some redness around the spots as well. He is normally fit and well but his mother has noted a cluster of spots in his right armpit that have been present for a few weeks. Case 1Ī 5-year-old boy is brought into the surgery. The following case studies aim to look at some of the common childhood rashes seen in general practice and how they are subsequently managed. They can vary from simple and benign conditions to life-threatening disease, such as meningitis. Rashes in children are common and as a consequence are a familiar consultation in general practice. appropriate treatments and advice for common rashes.

characteristic clinical features that can help elucidate a diagnosis.Menarini Farmaceutica Internazionale SRL Resource Hubĭr Jennifer Parkhouse Read this article to learn more about: