Page 35 - LECTURE NOTES
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™ Topical 5% 5-fluoro-uracil cream (efudex)

               ™ Cryotherapy with liquid nitrogen


                3.8.2. Molluscum contagiosum


               Molluscum contagiosum is a viral infection  of the skin that causes discrete papules

               that may be mistaken for warts.


               Etiologic agent: Pox virus


               It is common in children and some time in immunocompromised adults. The rash of
               molluscum contagiosum is characterized by discrete, 2 to 5 mm papules that are flesh-

               colored (skin color) and dome-shaped with a central umbilication (depressed centre).
               In children, the rash is most often found on the face, trunk and extremities.

               In adults it appears in the pubic and genital region it is a sexually transmitted infection.
               Molluscum contagiosum is a self-limited disease, meaning it will eventually go away on

               its own. Each lesion generally lasts for about 6 to 9 months, but they can last for

               several years.

               Treatment
               In children not touching it is probably the best approach.

               Cryosurgery - Using liquid nitrogen to freeze the lesion



               Salicylic Acid (Compound W) - A solution applied to the lesion with or without tape
               occlusion


               3.8.3. Herpes simplex Infection



               One of the most prevalent infections worldwide
                The infection is life long

               It affects:

                 • Skin
                 • Mucous membrane

                 • CNS

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