The molluscs are a type of skin infection, viral autoinoculable produced by the virus molluscum contagiosum , which produces eruptions as multiple papules umbilicated similar to a wart. According to Gloria Colli , Hospiten pediatrician Estepona, Malaga, is “very common in children.” In that regard, according to Colli, it is estimated that “between 5 and 10 percent of children between 2 and 5 years may have some mollusk”.
Isabel Martinez de Pablo, Service Specialist Dermatology Hospital Nens Barcelona Foundation, the prevalence is higher in pediatric patients is explained by several reasons: ” The atopy , a skin disease characterized by extreme dryness skin and development of eczema, which is more common at this stage of life and promotes infection molluscum virus; water activities , which are widely practiced in school age; and immunological immaturity , which slows viral shedding skin and skin favors its spread. “
Without treatment, according to Martinez de Pablo , infection molluscum virus “can last for years, with the average time of approximately 18 months.” However, if the first lesions mollusc are eliminated early, the process duration “is greatly reduced.” The doctor recalled that “usually the eruptions caused by the virus, which can occur in isolation or as small epidemics, do not bother, but sometimes itchy, swollen or bleeding from some trauma or scratching”, being relatively “easy for the child ‘s own make the infection from spreading to other areas of the body by scratching or rubbing of the skin itself.”
Even without treatment
According says Paola Gonzalez , coordinator of Dermatology Group of the Spanish Society of Family and Community Pharmacy (Sefac), today still “has not reached a universal consensus for treatment” of mollusks, so that the choice of therapy “depends on the experience and skills of the doctor , ” the absence of any specific product to end the virus. In some cases, as pointed Gonzalez, doctors “prefer to do without them because this health problem refers generally spontaneously” and, although effective, these treatments “can be cumbersome, painful and require several sessions to achieve complete healing. “
He explains Martinez Pablo that today and for the most part , professionals advise the curettage , ie, “the elimination of mollusk by curette , prior administration of topical anesthesia if necessary; or, alternatively, the home use of potassium hydroxide at concentrations between 5 and 10 percent. ” The latter technique, according to the dermatologist, “gets, after repeated application, drying injury by a process of irritation, with crusting”. Other techniques used to remove the shellfish as the liquid nitrogen , however, “have fallen into disuse in recent years by poor tolerance and the risk of sequelae”.
If a child has been infected by the virus, the Specialist Hospital Nens advises parents to understand that it is “a very normal process and not serious”, but despite his kindness advised that ” no delay treatment , it is much less traumatic for the child try a few injuries eliminate them when they are very numerous. “
- Moisturize skin thoroughly you can reduce the risk of spread. Avoid swimming until the problem is resolved is another measure.
Pablo Martinez also recommended not to use “never” creams or gels that have not been recommended by a doctor as “may irritate the child’s skin or prolong the infection.” Finally, and in the case of opting for spontaneous resolution, it advises “moisturize skin thoroughly to reduce the risk of spread, and avoid swimming until the problem is completely resolved.”
HIV transmission among pediatric patients usually occurs as the voice of Dermopharmacy the College of Pharmacists of Madrid, Rosalia Gozalo, “by direct skin to skin or through contaminated objects such as towels and toys objects” as well as attendance at pools where the virus “resistant” to disinfectants commonly used. For adults, meanwhile, Pablo Martinez explains that sexual transmission “is the most common route of infection”.
The experts consulted agree that no effective way to prevent infection by the molluscum virus is not known. Mainly as Gonzalez argues, “because being mostly pediatric patients aged 2 to 3 years old is very difficult to make them understand that they can spread to other colleagues or punish without going to the pool because they are sick.” For older children, “to pierce the message is simple , ” spokeswoman Sefac but acknowledges that “by following the case of child population,” is a complicated issue “.
Gonzalez , a recommendation to prevent infection in the case of atopic patients, advises , finally, “a good emollient skin creams and use of specific effective barrier to the bathroom”.
In any case, experts point out that in the case of contagion is not necessary to isolate children in school, because with the usual non – aquatic activities carried out in a school “contagion risk is minimal.” And if despite the infection was decided to continue taking the child to the pool, Colli pediatrician advised to be careful to keep injuries “covered by clothing or a bandage suitable for bathing”.