Molluscum Contagiosum (cont.)
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). Specially designed prescription creams for particularly resistant
skin discoloration using higher concentrations of hydroquinone 6%, 8%, or 10%
with a retinoid and a topical steroid may also be formulated by compounding
pharmacists. 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).
Next: What are possible complications of molluscum contagiosum? »
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