TINEA BARBAE

Diagnose and Treatment of Molluscum Contagiosum

Hasmah Bt Ashmar(C11111831)Putri Mentari Samrin(C11111361)Elisa Farhana Bt Omar(C11111859)

Advisor: dr. RaniSupervisor: dr. Asnawi Madjid, Sp.KK, MARS

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1Molluscum ContagiosumDefinitionMolluscum Contagiosum (MC) is a benign but troublesome viral infectionmost often affect young children.smooth, dome-shaped, discrete, opalescent papules with a central core that occasionally develops surrounding areas of scale and erythema .2Etiology4 types of poxvirus

3Epidemiology

Infection with MCV is worldwide. Three groups are primarily affected: young children, sexually active adults and immunosuppressed personsMolluscum is most easily transmitted by direct skin-to-skin contact, especially if the skin is wet.

45Clinical Features

Figure 1. Molluscum Contagiosum Discrete, solid, skin-colored papules, 1-2 mm in diameter with central umbiilication. Multiple, scattered, and discrete lesion, some of which are inflamed.DIAGNOSE6AnamnesisDurationSexual activitiesUnderlying immune diseasesAllergiesMedical history7Physical ExaminationClinical apperance of the lesions :- discrete, nontender, flesh color, dome-shaped papules +central umbilicationMorphology of the lesions : - 2-3 mm in size- may presents in group or widely disseminated8Histopathology

9AcanthosisHenderson-Peterson bodiesEosinophilicGranular inclusions within the keratinocytesDifferential DiagnosisVeruca Vulgaris

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2. Granuloma Pyogeni

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3. Basal Cell Carcinoma

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Divided into two:MedicamentosaNon-medicamentosa

MedicamentosaSystemicTopicalIntervesionMedicamentosaSystemic

CimetidineT-lymphocyte population stimulatorViral infection controller

Topical

Imiquimod creamTo treat the external genital and perianal (adult)Can be continued to 16 weeks

16CantharidinContains 0.9% collodian and acetoneShows satisfied result in treating MK

Podofilin suspension 0.5%Applied 2 times a day for 3 daysContain quercetin and kaempherol

17IntervensionCurretageKnown as hand-held curretageShould be done 40-60 minutes after local anasthesia

CryosurgeryFreezing technique using liquid nitrogen

Light emitting and pulse dye laserTo treat molluscum non genitalLow side effectHigh cost19Non medicamentosaWaxing (genital area)Do not share any personal itemsDo not Squeeze the lesionPractice good hygieneThankyou21