Molluscum contagiosum is a common viral skin infection characterized by small, dome-shaped, waxy papules with central umbilication that primarily affects children ages 1 to 10 years. While generally benign and self-limiting, this poxvirus infection can cause significant cosmetic concerns and may spread through direct contact or contaminated objects. Dr. Zitelli provides expert molluscum contagiosum treatment throughout Cincinnati, offering specialized viral skin infection management, pediatric-focused care approaches, and comprehensive family education to minimize transmission and optimize outcomes.
Not only provides excellent care but truly cares.
Understanding Different Types of Molluscum Presentations
Molluscum contagiosum manifests in various forms requiring individualized assessment and management approaches based on patient age, immune status, and lesion characteristics.
Typical Pediatric Molluscum
Classic presentation in healthy children with 1-6mm umbilicated papules appearing in clusters on trunk, face, limbs, and axillary areas
Extensive Immunocompromised Molluscum
Numerous widespread lesions in HIV patients or immunosuppressed individuals requiring specialized skin infection specialist management
Adult Genital Molluscum
Sexually transmitted presentation affecting genital and perigenital areas in sexually active adults requiring prompt evaluation and treatment
Inflammatory Molluscum Complex
Secondary eczematous dermatitis developing around lesions weeks after initial appearance, particularly common in atopic patients
Evidence-Based Treatment Approaches for Viral Skin Infections
Comprehensive molluscum management combines watchful waiting, targeted therapies, and preventive strategies tailored to patient age, lesion extent, and family preferences.
Conservative Observation Protocol
Preferred approach for typical cases allowing natural resolution within 6-12 months while monitoring for complications or secondary infections
Topical Immunomodulatory Therapy
Targeted application of imiquimod or cantharidin for persistent lesions causing cosmetic concerns or frequent transmission risk
Cryotherapy and Curettage
Office-based removal procedures for limited lesions in cooperative patients when rapid resolution is desired or indicated
Oral Antiviral Considerations
Systemic therapy evaluation for extensive disease in immunocompromised patients requiring skin infection specialist expertise
Specialized Pediatric Viral Infection Management
Effective molluscum treatment in children requires age-appropriate approaches balancing intervention benefits against potential discomfort and psychological impact.
Dr. Zitelli’s pediatric-focused approach emphasizes gentle examination techniques, comprehensive family education, and individualized treatment planning. Special attention to atopic dermatitis management helps prevent secondary eczematous reactions while addressing underlying skin barrier dysfunction that increases susceptibility.
Advanced Prevention and Transmission Control
Successful molluscum management requires comprehensive prevention strategies and family education to minimize household transmission and recurrence.
Detailed counseling covers proper hygiene practices, activity modifications, and lesion care techniques. School and daycare guidance helps families navigate social situations while preventing unnecessary restrictions on normal childhood activities like swimming and sports participation.
Frequently Asked Questions About Molluscum Contagiosum
Most molluscum lesions resolve spontaneously within 6-12 months, though some cases may persist up to 4 years, especially in immunocompromised patients.
No, children with molluscum can attend school and participate in normal activities, including swimming, as long as lesions are covered appropriately.
Yes, molluscum spreads through direct skin contact and contaminated objects like towels and clothing, requiring household prevention measures.
Treatment consideration depends on lesion location, extent, patient discomfort, cosmetic concerns, and risk of transmission to others.
Molluscum typically heals without scarring unless lesions become secondarily infected from scratching or inappropriate home removal attempts.
Board-Certified Dermatologist Serving Cincinnati, Ohio
Dr. Kristine Zitelli is a board-certified dermatologist serving the Cincinnati area, known for her expertise in treating a wide range of skin conditions. She completed her medical degree at Wright State University and dermatology residency at the University of Cincinnati, with additional advanced training at the UCSF Psoriasis and Skin Treatment Center. Her clinical focus includes thorough skin examinations, psoriasis, eczema, complex medical dermatology, surgical dermatology and cosmetic treatments using the latest technologies.
Dr. Zitelli has been named a “Top Doctor” in Cincinnati every year since 2016 as well as Cincinnati’s Top Dermatologist in 2020. She remains dedicated to educating the community about skin health and sun safety. Combining academic excellence, clinical research, and a compassionate approach, Dr. Zitelli delivers personalized, evidence-based care to every patient.
Expert Molluscum and Viral Skin Infection Care in Cincinnati
Don’t let viral skin infections disrupt your family’s routine and peace of mind. Dr. Zitelli’s specialized expertise as a skin infection specialist provides Cincinnati families with comprehensive molluscum contagiosum management, pediatric-focused treatment approaches, and thorough prevention education. Schedule your viral skin infection evaluation today to receive expert guidance and optimal care for your child’s molluscum concerns.
