I’m going to teach you about a rash that we see weekly in our office at Forest Park – often many times a day.

It freaks parents out, looks weird, and (always surprising to me)….none of the parents I speak with daily have ever heard of it.

Let’s learn about – molluscum contagiosum!

Ugh, molluscum. People stress so much about these little guys. And honestly – they’re usually no big deal and are totally harmless.

Molluscum contagiosum is the name of a rash that looks like fleshy little bumps. They’re caused by a virus and they can be found anywhere on the body.

They’re round, shiny, vary in size, and look like a cuter, cleaner version of warts. They can be white, pink, or flesh-colored. They often have a little “pit” or dot in the middle of them. They also sometimes have cheesy white stuff in them – this isn’t pus. Try not to pop them – this can lead to infection and scarring.

They spread from person to person very easily. They are passed by skin-to-skin touching, sharing towels or clothes, or using wrestling or gymnastic mats. They are also a common STD. I find that water is a common transmission source – baths, pools, hot tubs.

In my experience, they typically last 6 months to 2 years. The CDC mentions they can last as long as 4 years, but I’ve never seen that.

I always tell folks, if they can, to just leave them alone and let the body get rid of them. There is less scarring that way. Molluscum usually look a little inflamed right before they go away, because the body is finally paying attention to the virus and fighting them off.

Like I mentioned before – molluscum are usually harmless. They can, however, cause kids and parents to worry about their appearance, get irritated by clothing, and can get infected by scratching.

There are different ways to go about getting rid of them. Treatment is designed to irritate the spots. This is to encourage the body's immune system to recognize the virus and destroy the infected cells.

Just like with warts, we can freeze them in the office, or apply a blistering compound (“beetle juice”) to hopefully cause enough irritation to make them go away. Sometimes if they’re really bad, I’ll send kids to the dermatologist where they can inject yeast antigen into the lesions to make the body pay attention and get rid of them! Isn’t that crazy cool? This works sometimes for warts as well.

Other ways to approach getting rid of them involve creams we can prescribe. There are even oral medications that sometimes help (although I haven’t had the best of luck with these). You can also try a compound called Zymaderm. I’ve had some patients have luck with tea tree oil. And I’m a big fan of apple cider vinegar for both warts and these guys.

Bottom line is – they’re pretty benign, they typically are just annoying, and I promise you they will go away eventually. If you’re really worried about it, come on in and we will walk you through some treatment options.

Hugs,

Dr. Diane

They are not caused by holding (or kissing) frogs but, instead, are caused by viruses.

The virus that causes warts is contagious, but that does not necessarily mean that if your child touches a wart they will get one.

Warts will go away on their own without treatment (Say it with me now.). It never feels like that when it’s your own child, but I promise they will. It may take 6 months to 2 years but they will go away.

There are many strategies for taking care of warts at home. 

Over-the-counter (OTC) Meds

1. Bath or shower
2. Use an emery board to file the dead skin on the surface
3. Apply the topical wart remover
4. Cover the wart with a band-aid

Duct Tape

Place a strip (or ring if on the finger/toe) over the wart. This strategy may take weeks or months of coverage to work, but it does work (studies even show it)

Wart removal can be done, but I only recommend it for warts that are painful or in a location that makes activities (writing, etc) difficult. 

The most common types of removal are freezing and laser therapy.

About the author

Justin Smith, M.D., is a Cook Children's pediatrician in Lewisville . View more from The Doc Smitty at his Facebook page. He attended University of Texas, Southwestern Medical School and did his pediatric training at Baylor College of Medicine. He joins Cook Children's after practicing in his hometown of Abilene for four years. He has a particular interest in development, behavior and care for children struggling with obesity. In his spare time, he enjoys playing with his 3 young children, exercising, reading and writing about parenting and pediatric health issues.