M O L L U S C U M
C O N T A G I O S U M
M E G A N N O T O R I S
S T . T H O M A S U N I V E R S I T Y
N U R 5 0 7 : C H I L D R E N A N D F A M I L I E S
D R . S U S A N A R A M I R E Z
J U N E 0 1 , 2 0 2 5
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Typology: Summaries
2024/2025
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M O L L U S C U M
C O N T A G I O S U M
M E G A N N O T O R I S S T. T H O M A S U N I V E R S I T Y N U R 5 0 7 : C H I L D R E N A N D F A M I L I E S D R. S U S A N A R A M I R E Z J U N E 0 1 , 2 0 2 5
MOLLUSCUM CONTAGIOSUM According to Han et al. (2023) Molluscum is a harmless and common skin growth generated by a virus that dwells in the skin's outer layers (epidermis) (Han et al., 2023).
PATHOPHYSIOLOGY Gualdi et al. (2020) teaches that the poxvirus that causes molluscum contagiosum can form lesions (growths) on the body, either individually or in groups. In the United States, Molluscum contagiosum is quite common. You should not be surprised if you or your family contract it because it is so common (Gualdi et al., 2020). The infection is usually minor and disappears on its own without medical intervention. If you are exposed to someone who has the virus, you may get it more than once throughout your lifetime.
INCIDENCE
- (^) General Population: Molluscum contagiosum is expected to occur in the general population at a rate ranging from 2 to 8%.
- (^) Children: The frequency is higher among children aged 1-4 years.
- (^) Immunocompromised: In immunocompromised people, especially those with HIV, the incidence can be much greater, with estimates ranging from 5% to 18% (Gualdi et al., 2020). PREVALENCE
- (^) Children: A study published in Family Practice found that the prevalence of molluscum contagiosum in children ranges between 5.1% and 11.5%.
- (^) Global: Globally, molluscum contagiosum affects approximately 1.8% of the population.
- (^) Increase: Although molluscum contagiosum is a prevalent infection, recent evidence suggests an increase in frequency across all age groups. (Gualdi et al., 2020). It is important to know the incidence and prevalence rate when it comes to assessing and diagnosing a patient’s concern to make sure as an NP that you are providing the best treatment, plan of care patient education, and beneficial information for the patient and family to fully recover.
ASSESSMENT
Medical
History:
Talk to parents and or child about the spots that they are noticing. When did they first appear, how long have they been there, do they hurt, does anything help them, and are there any associated symptoms with these spots such as; itchiness, redness, pain, and or swelling. Ask about possible exposure: Has the patient been near, touched, or been exposed to similar lesions. If so, where, when, and from whom. Question if the child has any pre-existing skin conditions, such as eczema, which could affect the presentation of MC lesions.
Physical
Examination
The provider with assess the patient’s marks/ bumps that are being brought into question. When assessing the NP should note size, color, and location. The NP will observe if the bumps are stand alone or in a cluster. Take note of the location of the lesions: MC can form anywhere on the body, but in children, it is frequently found on the face, trunk, legs, and arms, and in adults, it is more common in the genital area.
DIAGNOSTICS
- (^) Your provider can use a direct visual examination of your skin to make a diagnosis. A biopsy or scraping of a lump may be done if the diagnosis is unclear,
- (^) Typical Look of MC according to Eichenfield et al. (2021) are important for the provider to know in order to proper diagnose. - Appearance: Small, raised bumps (papules or nodules). - Color: Usually white, pink, or skin-colored, but can also be flesh-colored or have a pearl- like appearance. - (^) Shape: Often dome-shaped with a smooth, firm surface. - (^) Central indentation (umbilication): A distinctive feature is a small dimple or pit in the center of the bump. - (^) Size: Typically range from about the size of a pinhead to a pencil eraser (Eichenfield et al., 2021). When an NP is diagnosis their patient, it is important to remember the patients age and overall health. In this case…It is important to member that MC is more commonly seen on children and immunocompromised individuals.
PATIENT EDUCATION Since the virus can spread through direct touch, precautions should be taken to stop its transmission. If you feel your child has molluscum contagious, take them to the doctor to confirm it. Wash your hands frequently. This is critical to preventing the spread of the virus. Encourage your youngster to avoid scratching or picking at the bumps. Make sure your child does not share towels, clothes, or other personal items with others
P R E V E N T I O N
E D U C AT I O N
(Levy, 2023)