What are molluscum?
Molluscum, also known as water warts, are caused by infection with a harmless pox virus.
They appear as small or larger bumps, they can be skin-colored or pink, most often with a small "umbilicus" in the middle.
How are molluscum transmitted?
Molluscum is transmitted by close physical contact, they are very common, especially on the arms and legs among small children, where they are transmitted by playing with other children.
In adults, infection most often occurs through close physical contact or sexual intercourse, which is why in adults they are most often seen localized to the genitals, thighs, buttocks and abdomen.
It can take 2-8 weeks from infection until the molluscum appears, they are usually self-limiting and disappear without scarring, but infection can last for several months, sometimes for years.
• Avoid shaving the area.
• Avoid scratching or picking at the bumps, as the virus can be transmitted to other areas.
• Remember to wash your hands after touching the molluscum.
• Do not share towels
• If the molluscum is on the genitals, a condom can be used during sexual intercourse, but it only protects where the molluscum is covered.
How to treat molluscum contagiosum?
Molluscum contagiosum may disappear without treatment, but treatment is recommended for molluscum contagiosum in the intimate area, as the infection is contagious. It may often be necessary to treat several times, as new molluscum contagiosum may appear. All forms of treatment can cause ulcerations and superficial scar tissue.
Home treatment with Potassium hydroxide solution 10% against molluscum, available via prescription.
1. The solution is applied to the molluscum once a day until the molluscum turns red,
maximum 10 days.
2. Let the solution dry for 1-2 minutes without touching it.
3. Wash off excess medicine with a damp cloth. Remember to wash your hands afterwards.
4. After about 4 to 6 days, the molluscum will become red, irritated or form a blister.
After this, no more potassium hydroxide should be applied.
5. After 2-5 weeks, the molluscum will disappear.
Sometimes it may be necessary to protect the surrounding skin with vaseline or barrier cream, as the solution can be harsh on the healthy skin.
If home treatment is not possible, molluscum contagiosum can also be treated with:
Freezing with liquid nitrogen every 2 weeks or scraping.