علاج الحمة المعدية في المرضى المتمتعين بمناعة طبيعية دون الإصابة بفيروس نقص المناعة البشري

DOI: 10.1177/09564624211070705

• Expectant management (no treatment) is recommended for immunocompetent patients (although this recommendation is guided by a Cochrane review of molluscum treatments at non-genital sites).
• Where active treatment for genital molluscum is required, we suggest that liquid nitrogen therapy or topical podophyllotoxin may be used.
• Cautery of genital molluscum is possible, especially if lesion numbers are not large.
• However, cautery is often painful, though discomfort may be lessened by the prior application of local anaesthetic cream (e.g. EMLA cream).
• Where molluscum lesions are associated with dermatitis (either due to background atopy or as an immune reaction to lesions), we suggest considering emollients and possibly mild topical steroid to settle inflammation, reduce the risk of scratching and further autoinoculation.
• Treatment and full resolution of lesions will prevent further transmission.