Friday, May 10, 2019

Nurse Practitioner Kim Gubbins discusses "bumps" on our kids that don't seem to go away.

                Mothers are the sunshine in our lives!                    Happy Mother's Day!


What is Molluscum Contagiosum?

Kimberly Gubbins, CPNP

By Kimberly Gubbins, CPNP


What are those bumps?

We see all types of bumps on the skin of our children. Goosebumps, insect bites, heat rash and eczema, to name a few. Another common bump is called molluscum contagiosum. Molluscum is the common cause of skin-colored, dome-shaped bumps on a child’s body, excluding palms of the hands and soles of the feet. Often there is a dimple in the center of the dome; the bumps are firm. Molluscum is a virus and can last anywhere from 12-18 months. Yes, you read that correctly. Molluscum bumps really like to “stick around”. The virus is spread with skin to skin contact. We also see molluscum contagiosum spreads with itching the lesions, sharing towels or bath sponges and during skin to skin contact while participating in contact sports. We often see cases of molluscum increase when children swim in swimming pools.

So what are we to do with these bumps?
  1. Leave them alone! Please, no popping or picking, that will only spread this virus!
  2. Kids with molluscum can stay in school and daycare. Bumps that would likely be in contact with others should be covered. This also would be necessary for older children participating in contact sports.
  3. If your child has molluscum, do not have them share bath towels or sponges with another child or adult.
  4. There is no current medication (supported by evidence based research) proven to be beneficial and/or effective.
  5. No lab work is required.
  6. Try to stop the itching! Keep child’s nails short and treat any eczema in that area.
  7. If the bumps are near your eyes, you will need to see an eye doctor.
  8. These bumps are more common in kids, but could also be seen in adults.
  9. Inflamed molluscum are common and a sign of impending regression (Isaacs, 2017).
  10. Molluscum are difficult to remove and if done, can often leave scars.
  11. However, if you have a molluscum that is repeatedly becoming infected, consider a dermatology appointment for removal.

References for further information on Molluscum Contagiosum:





Resources:
Isaacs, S, MD. (2017). Molluscum contagiosum. In Abena O Ofori, MD (Ed.), UpToDate. Retrieved April 15, 2019, from https://www.uptodate.com/contents/screening-for-depression-in-adults

1 comment:

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