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Papular eruptions on the face
Question :
Jagjit Singh Dalal, Aashish Kumar, Monika Dalal, Tarun Kumar Sharma
Departments of Pediatrics, Department of Obstetrics and Gynecology, Department of Biochemistry, Pt. B.D. Sharma Post Graduate Institute Medical Sciences, Rohtak, Haryana and Deen Dayal Hospital, New Delhi, India.

Address for correspondence: Dr. Jagjit Singh Dalal, Flat no.15, Couple Houses, Medical Enclave, PGIMS, Rohtak-125001 {Haryana}, India. E-mail: drjagjitsingh@hotmail.com

Spot Diagnosis
 
Answer :
Molluscum contagiosum {MC} is a viral infection of the skin or occasionally of the mucous membranes. It is caused by a DNA poxvirus called the molluscum contagiosum virus {MCV} This common viral disease has a higher incidence in children, sexually active adults, and those who are immunodeficient.{1} The virus commonly spreads through skin-to-skin contact. Diagnosis is made on the clinical appearance. Molluscum contagiosum lesions are flesh-coloured, dome-shaped, and pearly in appearance. They are often 1–5 millimetres in diameter, with a dimpled centre. They are generally not painful, but they may itch or become irritated {2}. Individual molluscum lesions may go away on their own and are reported as lasting generally from 6 to 8 weeks, to 2 or 3 months {3}. Pulsed dye laser therapy for molluscum contagiosum may be the treatment of choice for multiple lesions {4}.
Conflicts of interest: None
Contributors: JSD and AK are involved in the conception of idea and preparation of manuscript as well as management of patient. MD collected and compiled all data, TKS wrote the manuscript.

References
1. Hanson D, Diven DG. Molluscum contagiosum. Dermatol Online J. 2003` 9: 2
2. Molluscum Contagiosum. Available on website: ww.aad.org, public, publications, pamphlets, viral_mollscum.html. Accessed on 5th February 2011
3. Weller R, O`Callaghan CJ, MacSween RM, White MI. Scarring in Molluscum contagiosum: comparison of physical expression and phenol ablation. BMJ. 1999` 319: 1540
4. Molluscum Contagiosum. Available at website: ww.cks.nhs.uk, molluscum_contagiosum. Accessed on 5th February 2011

E-published: May 2011 Vol 8 Issue 5 Art # 29