Molluscum contagiosum

Molluscum contagiosum is usually painless but can sometimes be itchy, especially if the lumps get infected.

• The lumps usually appear about 2–3 months after infection and can persist for 6 months to 2 years.
• Most molluscum infections clear up within 1 year but some people find they get recurrences.
• Molluscum contagiosum is often associated with surrounding dermatitis (inflammation of the skin), in which case the affected skin becomes pink, dry and itchy.
• As the lumps resolve, they become inflamed, crusted or scabby for a week or two.

People with a suppressed immune system may have problems with molluscum contagiosum being widespread and may need further treatment.  

Image credit: DermNet NZ

Molluscum contagiosum is spread by close skin-to-skin contact. Often the molluscum infection can spread further than the initial cluster through scratching and direct contact with other areas of the skin. It may spread between children swimming and bathing together or be transmitted via clothing or towels. Some people don't develop lumps even when they come into contact with the virus. 

Will sexual partners also have molluscum contagiosum?

Sometimes. It is advisable for sexual partners to see a nurse or doctor for a check-up if they have any unexplained lumps or itches.

Treatment is not usually required as the lumps resolve by themselves. Some people may seek treatment for cosmetic reasons when molluscum appears on the face or eyelids. In these cases, molluscum can be removed by your GP using a clean needle to remove the centre core, or by freezing or burning the lumps. This may leave a scar. 

If you develop secondary dermatitis, it may be treated with a topical steroid cream. However, the dermatitis is unlikely to resolve until the molluscum infection has cleared up.

While molluscum contagiosum is not a serious condition, there are a few potential complications that can occur. If the bumps are scratched or damaged, they can bleed and become infected. This can lead to scarring or changes in skin colour. Sometimes you may be left with spontaneous, pitted scarring, whether or not you have had any treatment. If you develop redness, pain or have any concerns, see your nurse or doctor to check. 

In rare cases, the virus can spread to other parts of the body and cause more serious problems. 

Molluscum appears long after you have been infected, and is infectious while the lumps are present. However, affected children and adults should continue to go to work, school and day care. 

To reduce the spread:

• keep your hands clean
• avoid scratching and shaving
• cover all visible lumps with clothing or watertight plasters
• dispose of used plasters
• don't share towels, clothing or other personal effects
• adults should practice safe sex or abstinence.