What is the the most probable diagnosis of a child who presents with white umbilicated lesions on face?
Correct Answer: Molluscumcontagiosum
Description: Ans. is 'a' i.e., Molluscumcontagiosum Pearly white umblicated papule on face in children is most commonly seen in Molluscumcontagiosum. Molluscum contagiosum It is a common viral infection in children. It is caused by pox virus, i.e., Molluscum contagiosum virus. It is characterized by multiple pearly white, dome-shaped papules which are umbilicated centrally. On using a hand lens, many of the papules has a mosaic appearance. Epidermal cells contain eosinophilic intracytoplasmic inclusion bodies (Molluscum or Henderso-Paterson bodies). Autoinoculation can give rise to lesions arranged linearly along line of trauma ----> pseudoismorphic (pseudokoebner's) phenomenon. M.C. may involve any pa of the body In children face is involved most commonly. Anogenital molluscum contagiosum is a STD. Treatement Curretage, electrocautery, cryotherapy are simple and effective methods. Imiquimed, a recently introduced immunostimulant, is helpful in patients with multiple lesions and in small children.
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