Molludab Molluscum Solution, 2 ml

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I asked my 9-year-old son as he got into the bath after football training one evening. He was mud- splattered and soaking, yet outstanding amid the filth on his body was a small, raised skin-coloured nodule, slap bang in the middle of his shoulder blades that had appeared seemingly from nowhere. I had seen nothing like it before. The lesions average 2mm to 5mm in size and are usually painless but may become itchy, inflamed, red and swollen. The papules are usually small, raised and usually white, pink or flesh-coloured with a central depression. When the core is expressed it produces a white, cheesy material. The patient does not usually experience systemic symptoms, such as fever, nausea, or malaise 1. MolluDab ® causes cells which are affected by the virus to dissolve and after 3-6 days of treatment 4 produces a defence reaction of the skin in the region affected by molluscum contagiosum. Molluscum contagiosum is a self-limiting infection which typically resolves itself within 6 – 12 months but may take as long as 4 years. However, certain cases can take far longer to resolve, and patients are often highly embarrassed about their condition 2. Diagnosing molluscum contagiosum

Elizabeth consulted their GP about her daughter’s condition and was referred to a skin specialist at the local clinic…. In the meantime, ‘the blob’ became a source of fascination to us. My son would contort himself when getting dressed to try and see or poke it. I would peer through my reading glasses, convincing myself it was getting bigger. Five days after we had first noticed it, suspicion got the better of us. We booked an appointment and headed down to the doctors’ surgery in our village. ... It was small, had the consistency of firm jelly but didn’t seem to cause discomfort as I prodded it. And while it hadn’t sparked concern – yet – it had raised my curiosity. It would be monitored, I decided, and if it hadn’t disappeared in a week, a visit to the GP would be scheduled in the diary.

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The vascular patterns found in 188 lesions confirmed histologically were crown (72.34%), radial (54.25%) and punctiform patterns (20.21%). Half of the 188 lesions had a combination of vascular patterns

It is probably best to discuss each of the potential treatments with your GP but I am unsure whether they would deem it suitable for a child but its still worth having them discussions and talking through your concerns. MolluDab ® is a clinically proven topical treatment which contains 5% potassium hydroxide and is dabbed onto the bumps twice a day.MolluDab ® is ideal for home treatment and is relatively painless than some more aggressive treatments 3. MolluDab ® should not be used during flare ups of atopic dermatitis or on mucus membranes. Purchasing information for pharmacists

Goodness that sounds awful lewimorgan1, your poor little girl. My 3 dc have it in differing severity. One of my DS has it very badly, although thankfully they are all on his body, none on his face. There must be close to 300. My other DS's torso is completely covered and my DD just has a small patch on her bottom. We've been using molludab for about 3 weeks now and on second bottle (as you get such a tiny amount). I think it is working as the spots are scabbing but it is not stopping the spreading of the virus so they are getting more spots but it is taking time for the old ones to scab and heal. Most cases areself-limitingwith resolution of lesions occurring over 6-9 months, although some cases may last for up to four years. Where possible the parents of such children should be encouraged to let the condition run its natural course The sexually transmitted lesions found on the abdomen, inner thighs and genitals of sexually active adults. The specialist confirmed she had molluscum contagiosum and advised Elizabeth that it would disappear of its own accord in 18-24 months or thereabouts. Elizabeth and her husband used an antiseptic healing cream on the recommendation of another parent with MC-affected children and this helped to speed up the recovery once the bumps had burst. Elizabeth continues, “As MolluDab was new to the market, we were advised that no treatment was available and would have to wait until our daughter’s immune defences built up for the rash to resolve. This was very frustrating.” My docs refused to do the prescription so we are currently paying for it, but I am so desperate I would actually pay anything. Mornings and evenings are very stressful with all 3 dc screaming while and after I put it on as it is so painful.Jansen et al. (2007) 4 also conducted a study of 21 children to evaluate the efficacy and tolerability of 5% potassium hydroxide (i.e. MolluDab®) applied twice daily on each lesion until a clinically visible inflammatory reaction was apparent. The authors confirmed the effectiveness and tolerability of potassium hydroxide with the added benefit of patient and parent compliance and simple application, making it suitable for home treatment. You have stated that your LO also suffers with eczema. Have you got any treatment for the eczema? It can be a cycle of eczema flare ups and the molluscum as they can irritate each of the conditions. In a clinical study the 5% solution is as effective as the 10% potassium hydroxide, but minimised skin irritation associated with the stronger solution 3. Infection of children though sexual abuse is presumably possible. However, to a greater extent than warts, molluscum is seen quite commonly on the genital and perineal skin, and abuse should not be regarded as the likely cause unless there are other suspicious features

Cryotherapy can bea very effective treatment for older children and adults, younger children rarely tolerate it. Often only a single freeze-thaw cycle of 5-10 seconds is needed

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Most papules are 2-5 mm in size. Occasionally lesions can reach 1 cm or greater in diameter, this is particularly so with solitary lesions From what I am aware of, your GP is correct in stating that the condition does tend to self resolve although the amount of time this takes can vary from child to child. The treatments that are used in adults are not recommend for children due to the pain, increase in scarring and other not so pleasant effects. Even in adults treatment is only used if its having a negative impact upon the quality of life.