Abstract



GENITAL MOLLUSCUM CONTAGIOSUM: TO TREAT OT NOT TO TREAT?

George-Sorin Tiplica, Alexandra-Irina Butacu

2nd Department of Dermatology, Colentina Clinical Hospital, "Carol Davila" University of Medicine and Pharmacy, Bucharest, Romania

Molluscum contagiosum represents a benign viral infection which associated a high risk of transmission. The presentation focuses on the European Guideline of Management of Genital Molluscum contagiosum and involves diagnostic challenges from a clinical point of view, describing clinical aspects such as characteristic individual lesions, termed “mollusca”, seen as dome-shaped, smooth-surfaced, pearly, firm, skin-coloured, pink, yellow or white papules, 2 - 5 mm in diameter with central umbilication, as well as dermoscopic features and histopathological criteria, such as crateriform, hyperplastic epidermis or endophytic infundibular  hyperplasia that produces a circumscribed cup-shaped pseudotumor containing large cells with granular, eosinophilic, intracytoplasmic molluscum bodies (also known as inclusion bodies or Henderson-Paterson bodies). Therapeutic measures are detailed, including physical treatments (cautery, curettage, cryotherapy), topical chemical treatments (e.g. podophyllotoxin, imiquimod) or waiting for spontaneous resolution in immunocompetent patients. Special cases such as pregnancy, sexual abuse and immunosuppression are covered as well. Furthermore, the necessity of providing screening for sexually transmitted infections in patients diagnosed with genital molluscum contagiosum is re-emphasized.


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34 IUSTI Congress - European Congres on Sexually transmitted Infections and HIV/AIDS
TAMING THE TIDE of STIs & HIV
Bucharest, September 3-5,