Molluscum Contagiosum (cont.)

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How do I treat the accompanying rash with molluscum contagiosum?

Treatment of molluscum-associated eczema is directed toward the underlying dry skin. General measures to prevent excessive skin dryness and breakdown (such as mild soapless cleansers) are recommended. Lubrication with moisturizer lotions (such as Cetaphil or Lubriderm) is helpful for many people. Eczema that is more resistant may require the addition of an over-the-counter hydrocortisone cream (such as Cortaid or a prescription medium potency topical steroid cream such as triamcinolone once or twice a day) for inflamed or itchy areas. Topical steroids should not be applied directly to the molluscum bumps as they may worsen molluscum contagiosum.

How do I treat the persistent skin discoloration after molluscum contagiosum?

After the molluscum bumps have resolved, persistent skin discoloration called hyperpigmentation may be left alone and allowed to resolve over time. Alternatively, residual hyperpigmentation may be treated with prescription fading creams (such as hydroquinone 4%, kojic acid, or azelaic acid 15%-20%). Over-the-counter fading creams with 2% hydroquinone are available (such as Porcelana). Mild chemical peels and microdermabrasion may also help improve discoloration.

Why do I keep getting more molluscum bumps where I shave?

The repeat tiny cuts caused by shaving with a razor can create more potential breeding areas for the poxvirus. This may lead to further spreading of molluscum contagiosum. Treatment goals include avoiding shaving the affected molluscum area and trial of other hair-removal methods like laser hair removal, electric razors, or cream depilatories (such as Neet or Nair).


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