What is the the most probable diagnosis of a child who presents with white umbilicated lesions on face?
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.
Molluscumcontagiosum
Herpes simplex infection
Erythema toxicumneonatorum
Human pappiloma virus infection