Separating Fact from Fiction in Molluscum Contagiosum

molluscum contagiosum is caused by infection by the molluscum contagiosum virus (MCV), a large, double-stranded DNA virus that is a member of the pox virus family. Several genotypes exist, but MCV genotype 1 is responsible for 98 percent of molluscum cases that occur in the US. Molluscum lesions typically present as centrally umbilicated, firm, dome-shaped, pearly to flesh-colored papules averaging three to five milimeters in diameter. Many have a white curd-like core that can be easily expressed. Because molluscum is so prevalent, a clear understanding of the features and treatment of this condition can help clinicians provide the most appropriate care for their pediatric patients. There are fortunately a good number of effective treatments as well as preventative measures parents can take to help reduce the effects of this condition on children. Listed below are some misconceptions about the disease and some accurate statements. We will separate fact from fiction.