A 3-year-old child has multiple flesh-coloured, dome-shaped umbilicated papules scattered over the trunk and axillae. The lesions are 2–5 mm in size. Which is the correct statement about this condition?
- A It is caused by human papillomavirus and requires topical podophyllin
- B It is caused by a DNA poxvirus and typically resolves spontaneously without treatment ✓
- C It is caused by HSV and requires oral acyclovir
- D It requires systemic griseofulvin treatment
Correct answer: B. It is caused by a DNA poxvirus and typically resolves spontaneously without treatment
Explanation
Molluscum contagiosum is caused by the Molluscipoxvirus (a DNA poxvirus), not HPV or HSV. It presents as multiple umbilicated flesh-coloured papules in children, typically self-limited and resolving spontaneously within 6–18 months without treatment. The characteristic central umbilication with a waxy plug (molluscum body) is pathognomonic. Treatment is generally not recommended in immunocompetent children, though cantharidin, curettage, or cryotherapy may be used cosmetically. HPV causes warts without umbilication. Griseofulvin treats fungal infections.
Reference: Ghai Essential Pediatrics, 10th ed.
High-yield for: NEET PGINI-CETNExTFMGEUSMLEPLABMRCP
Written and medically reviewed by the StethoPrep medical team.