Dermatology
GP Management
In the majority of cases no treatment is required as spontaneous resolution occurs
- A number of topical treatments can be considered but evidence for efficacy is limited:
- Podophyllotoxin 0.5% (for anogenital disease)
- Imiquimod 5%
- Hydrogen peroxide 1% cream
- Salicylic acid preparations
- Potassium hydroxide (over the counter Molludab, Mollutrex)
- Cryotherapy (not usually considered under age 6)
- Topical antiseptic may help to reduce superadded bacterial infection
- Curettage with use of topical anaesthetic cream: send specimen for histopathology
- Eczema around molluscum: treat with emollients or mild topical steroid
Therapeutic tips:
- Advise avoid sharing towels, sponges and clothes.
- Anogenital involvement
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- Adults/sexually active young people: consider referral of patient to genitourinary medicine for infection screening if widespread anogenital involvement. Advice about barrier methods of contraception.
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- Children (under 16): anogenital involvement common. Consider referral to child protection if there are other reasons for concern
- Do not use salicylic acid on face.