Molluscum contagiosum in children. Molluscum contagiosum photo in children and adults, treatment

Children's immune system is less developed compared to an adult, so the child has a higher the risk of various infectious diseases, one of which is molluscum contagiosum.

This is a viral infection that causes unusual growths on the surface of the skin. in the form of nodules, similar to mollusks. We will talk about the treatment of molluscum contagiosum in children in the article.

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concept

Molluscum contagiosum in children - photo:

It is a viral infectious disease among preschool children However, it sometimes occurs in adults.

The causative agent is one of the viruses to the group of smallpox viruses. The disease causes a rash on the skin, most often on the mucous membrane and soft tissues, in the form of formations - a kind of pink or flesh-colored molluscs.

After infection, the virus penetrates into areas of the surface of the human body that are favorable for its development, and then introduces its DNA into cells, changing their structure.

As a result, abnormal cell growth and division occurs, and plaques appear that are shaped like a mollusk or.

How does infection occur?

Usually, the virus is transmitted at home through direct contact of people, so the disease may be epidemic in kindergartens, schools and other social institutions.

Transmission through personal hygiene products is also possible: towel, soap, toothbrush, underwear, etc.

Special risk infection is observed in rooms with high humidity and air temperature, and this is a pool, locker room, bathhouse, etc.

Studies have shown that mollusc nodules contain a large amount of fluid, which contains a huge amount of virus. That is, if the formation bursts, then millions of pathogens are released into the environment.

They are can move in space together with dust and air, as they are extremely small.

However, under the influence of high or low temperatures, they die.

Causes

The main cause of this disease is virus infection through direct contact between people or through surrounding objects. The following factors may contribute to this:

• weakened immunity;
• skin damage (wounds, burns, cuts);
• the presence of another infectious disease or a recent illness;
• malnutrition;
• and minerals in the body;
• non-compliance with personal hygiene;
• frequent presence in crowded places;
• Availability .

More susceptible to disease children from 1 to 5 years old.

Symptoms

The first weeks after infection occurs incubation period.

This process can take from 2 weeks to 1 month. Then nodules begin to appear on the skin.

At first they are only slightly noticeable, but gradually grow and become like mollusks with a white or yellow dot in the center. Inside the nodules fluid accumulates.

Most often, formations appear on the abdomen, buttocks, face, neck and thighs, as well as on the mucous membrane of the mouth and throat. The nodules are round or oval, flesh or pink in size. up to 5 mm.

Over time, the formations can darken and become brown, and the liquid from them can seep and cause itching or burning.

Varieties of the disease

This disease has several varieties:

1. classical- single hemispherical nodules with a depression in the center appear on the surface of the skin.
2. Generalized- on the surface of the skin there are large formations collected in clusters of up to several tens of pieces in one place.
3. Giant- formations merge into one large nodule up to 2 cm in size.
4. Pedicular- nodules merge into flat plaques, covering large areas of the skin.

Consequences and complications

In most cases, the disease progresses without complications.

In rare cases, it is possible to develop various against the background of skin lesions with molluscum contagiosum.

There is also a risk of penetration and development of other infectious diseases, since immunity is weakened.

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Diagnostics

For an experienced doctor, a visual examination of the patient is enough to make a diagnosis. However, for differentiation of rashes similar in symptoms, for example, human papillomavirus, polyp, dermatofibroma and various tumors, additional studies are being carried out:

• general blood analysis;
• histological studies on the bodies of mollusks in the blood;
• microscopic studies of formations;
• biopsy of formations.

Based on the data obtained, the doctor will make an accurate diagnosis and prescribe appropriate treatment.

Treatment Methods

How to treat the disease? In most cases, doctors recommend refrain from treatment.

The immune system must cope with the disease itself within 3-6 months.

However, in some cases, if the immune system is too weak, therapy is essential.

Therapy is aimed at suppressing the virus in order to prevent its further spread, as well as strengthening the immune system.

Medicines

The following types of drugs are used for treatment:

• antiviral(external gels and ointments) - for external treatment of formations on the skin (Fukortsin, Tazorak, Retin-A, Aldara);
• antiviral(tablets) - for oral administration (Anaferon, Pranobeks, Isoprinosine);
• immunomodulators- to strengthen the immune system (Cycloferon and Interferon).

This disease is often accompanied by other infections (usually bacterial), therefore, tetracycline antibiotics (Tetracycline, Chlortetracycline, Oletetrin, Metacycline) are additionally prescribed.

You will find specialists in the treatment of impetigo in children on our website.

Folk remedies

In some cases, the healing time can be reduced if traditional medicine is used.

They mainly help best cosmetic effect by removing the formations themselves.

Consider a few useful and effective recipes:

1. Garlic. It is necessary to lubricate each nodule with garlic juice every day. The result will be noticeable in a few weeks.
2. Series. For 1 liter of water, take 2 tablespoons of the string, put on fire and bring to a boil. Cook on low heat for 15 minutes and remove from the stove. After cooling and straining the broth, they treat the affected areas of the skin. After some time, the nodules will open, and a colorless liquid will flow from them. After that, instead of a decoction, you should start treating the formations with iodine. Within 1-2 weeks, the wounds will heal, and there will be no trace of the rash.
3. Celandine. It is enough just to lubricate all plaques on the skin with celandine juice. The course of treatment usually lasts 3 months. The shellfish will dry out and fall off on their own.
4. Potassium permanganate. It is necessary to treat the rash with a solution of manganese (5%) every day. The plaques themselves should soon fall off, and the wounds should heal. There are no scars left.
5. Period. The most unusual way. It is necessary to process the mollusks with the monthly secretions of the mother during the week. After that, there should be a remission. It is believed that in this way the mother passes on her immunity to the child. The effectiveness of the method is unknown, but folk healers claim that the method works.

Removal

This method does not eliminate the virus itself from the body, but only eliminates the external manifestation in the form of a rash.

Therefore, this type of treatment should be associated with drug therapy with antiviral agents, to avoid relapse.

To date, there are several ways to remove molluscs:

1. Cryodestruction- treatment of formations with liquid nitrogen of low temperature. Healthy tissues remain unharmed, and pathologies die off and fall off. The method is fast and painless.
2. Diathermocoagulation- cauterization of formations with an electric current, which pointwise creates a high temperature that is detrimental to mollusks. The procedure is performed under local anesthesia.
3. Laser- removal of formation by a directed high-power laser beam. The formations are burned out, and not a trace remains of them. The procedure is performed under local anesthesia, there are no scars.
4. Mechanical removal It is a simple surgical operation under local anesthesia. The surgeon will remove all pathologies with a scalpel. Fast and painless.

The virus cannot be completely destroyed, only suppressed. If immunity weakens in the future, then a relapse is possible.

According to Dr. Komarovsky, the child does not need to be "poisoned" with pills or "experimented" with the help of folk remedies. He advises not to treat children at all if there is no threat to their life and health.

It is enough to strengthen the immune system so that the body can cope on its own.

If the rash is in an unpleasant place or the child is complex because of this, then you can contact a beautician and remove the formations, but this, according to him, undesirable.

Prevention

To prevent this disease follow these helpful tips:

• monitor the state of the child's immune system;
• eat properly;
• adhere to the rules of personal hygiene;
• avoid contact with sick children;
• treat any infectious diseases in time;
• Get regular checkups with your pediatrician.

Molluscum contagiosum does not pose a serious threat to the health of the child. However, this is an alarming bell, which indicates a weak immune system.

This means that there is a risk of other diseases, much more serious.

If the disease has appeared, then you need to undergo all the necessary examinations with a doctor, and then follow his recommendations. You may not have to be treated at all, and all forces will be directed to strengthening immunity.

What to do with molluscum contagiosum? Doctor Komarovsky tells in this video:

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They look intimidating on her. Moms and dads immediately sound the alarm, looking for the cause. Most often they “sin” for an allergic reaction, diathesis, contact dermatitis. And if all home recipes have been tried, but nothing helps, doctors get down to business. Sometimes the diagnosis sounds strange. One of these medical verdicts is molluscum contagiosum. What kind of disease is this and how to treat it, says the authoritative children's doctor Evgeny Komarovsky.

What it is?

There is a special virus from the smallpox group, which loves to “visit” children under 5 years old. It is at this age that babies have the weakest and most vulnerable immunity, which is still in its infancy. The virus infects the skin and sometimes mucous membranes. There are four varieties of the foreign agent, two of which are more characteristic of adults and are sexually transmitted. The other two are typical "children's", they are transmitted through contact with a sick person, through common household items, toys, dishes, and so on, less often by airborne droplets. The virus spreads when combing and rubbing the affected areas of the skin.

Thus, molluscum contagiosum is a viral skin disease that is not as rare as it might seem at first glance.

The incubation period lasts from 2 to 8 weeks. The likelihood of infection increases many times in a hot climate and in poor sanitary conditions.

The child's body develops immunity to the virus that causes the disease, but immunity is not permanent, and after a while the child may become infected with a skin virus again.

Symptoms

Papules appear on virus-affected areas of the skin. They resemble round nodules with pronounced swelling. The color of the rashes is natural skin or slightly pinker than the skin tone. In the center of the papules there is a visually distinct depression, sometimes filled with a white waxy substance. Diameter - 1-2 mm, with a long course of the disease, the size of the rash can increase to 7-9 mm.

Sometimes the disease has a giant form (when the papules are larger than 2 centimeters in diameter), and quite rarely the form of the disease is defined as pedicular (in which the papules are located on small vertical legs).

Most often, molluscum contagiosum in children affects certain parts of the body - arms, legs, torso, face. The rashes do not hurt, but itching on the skin around the papules is quite often noted.

Treatment according to Komarovsky

Evgeny Komarovsky, answering questions about molluscum contagiosum, emphasizes that there is no effective cure for the virus, which is the causative agent of skin problems. In a healthy child with normal immunity, the disease will go away on its own, however, this may take quite a long time - up to several months. If you really want to rid your child of these ugly papules, you can, of course, turn to the services of cosmetic surgery - papules are plucked, cauterized, cut and even removed with a laser.

But Yevgeny Komarovsky advises to think carefully before starting torturing a child because of a problem that will soon pass by itself without a trace.

Only children with HIV infection and severe immune disorders, often genetic, will require specific treatment. In them, a harmless mollusk can cause severe bacterial complications, when the papules begin to fester, become inflamed, and the foci of such inflammation will be extensive.

Among the generally accepted methods of getting rid of a viral mollusk are cryotherapy, chemical cauterization, and thermal laser exposure.

In general, molluscum contagiosum is not at all dangerous to humans, according to the statistics of practicing doctors - without any treatment, papules disappear after 12-16 months. In rare cases, the complete disappearance of rashes takes more than 2-3 years.

Molluscum contagiosum rashes should not be dried and damaged at home, which are not sterile, to avoid bacterial infection of wounds.

Baths with celandine can contribute to recovery, but the duration of the course of the disease does not change significantly from such procedures.

Do not try to treat the disease with antibiotics and ointments based on antibacterial drugs.

Be sure to inform the educator or elementary school teacher about the diagnosis to prevent the widespread spread of the virus in the children's team. The communal swimming pool is not recommended.

For information on what to do with molluscum contagiosum, see the following video.

Molluscum contagiosum is a skin disease that is caused by a viral infection. During the development of the disease, rashes appear on the human skin, which look like small nodules.

These nodules are flesh or pink in color, and in the center of such a pimple there is a small depression. This virus is highly contagious and spreads quickly.

Molluscum contagiosum in children (see photo) is transmitted after direct contact with an infected person, or by sharing common hygiene items and toys. In the case of adults, the process of transmission of the virus proceeds somewhat differently.

To non-observance of personal hygiene, as the main reason for the onset of the development of the disease, are added the person's HIV infection and promiscuity, since in middle-aged and older people the virus enters the body during sexual intercourse.

Pathogenesis

Molluscum contagiosum is a benign neoplasm of the skin; DNA virus synthesis occurs in the keratinocytes of the epidermis, after the virus multiplies in the host cells, the activity of T-lymphocytes is blocked, and therefore there are no immune cells in case of damage, which explains the immune tolerance that favors the pathogen during infection.

The reasons

Why does molluscum contagiosum appear, and what is it? The causative agent of the disease called molluscum contagiosum is called a DNA-containing virus, it belongs to the same group as smallpox. This virus multiplies in the cytoplasm of cells that are affected by it. The carrier of this virus can only be a person, it is transmitted only through direct contact, namely:

1. Contact way. The causative agent, molluscum contagiosum, is extremely contagious and affects only the human body. It can be in a "sleeping" state among the dust for a long time. Usually, infection occurs through a person who is sick with this virus: while swimming in the pool, when using common things, bedding, hygiene products.
2. Sexual way. When infected through sexual contact, molluscum contagiosum usually affects the genital area of ​​a man or woman.

Children are most susceptible to infection with this virus, especially those who attend preschool institutions, a school where outbreaks of the epidemic can occur. It should also be noted that the current state of medicine does not yet allow to completely get rid of the molluscum contagiosum virus, and immunity to the disease is also not formed. The causes of recurrence of the disease is a decrease in immunity, due to which the virus is activated.

Molluscum contagiosum symptoms

The disease makes itself felt 2 weeks after infection. It is through this period of time that the first symptoms of molluscum contagiosum appear. In rare cases, the incubation period is prolonged, and the first signs in children or adults appear after a few months.

In the case of molluscum contagiosum, the main symptom is the formation of raised hemispherical nodules on the human skin. Their color matches the skin tone. There is a slight indentation in the middle of the nodule. The size of the neoplasms can vary. From small rashes, they turn into large nodules, the diameter of which can be 1–1.5 cm. With an uncomplicated course of the disease, from 1 to 20 nodules develop, they do not bother or hurt. However, with mechanical damage, they can swell, redden, itch and become inflamed, especially when an infection is introduced.

The areas of the rash depend on how the infection occurred. Most often, the skin in the neck, eyelids, forehead, chest, back of the hand, mucous membranes and skin around the genitals, perineum, and inner thighs are affected by the virus. Rarely, the disease affects the sole, palms.

Complications

In most cases, the disease has a favorable course, but you should not completely exclude possible complications:

1. The appearance of multiple rashes with large elements, which can be several centimeters in diameter. Such a complication of an infectious mollusk is typical for persons with a reduced immune status, for example, for HIV patients.
2. Associated bacterial infections a. In this case, dermatitis (an inflammatory process) develops, after which unsightly scars may remain on the skin.

It should be borne in mind that the occurrence of molluscum contagiosum in a child may indicate problems in the immune system or hidden infections. Therefore, it is recommended that the baby be carefully examined to identify the pathologies that served as the starting point for the development of the disease.

Molluscum contagiosum: photo

What a molluscum contagiosum looks like, and what it is - we offer detailed photos of the rashes for viewing.

Diagnostics

Diagnosis of molluscum contagiosum in children and adults is usually carried out by a dermatologist based on a general examination. Rashes in this disease have a characteristic appearance, and therefore additional diagnostic methods are not required.

With self-diagnosis at home, quite often there is confusion with varieties of syphilis, so it is imperative to contact specialists.

Molluscum contagiosum treatment

In many cases, molluscum contagiosum does not need to be removed - it disappears on its own without treatment. The "life" of the papule is approximately 2-3 months. However, in severe cases, the disease can last up to 4 years (on average 6 to 18 months), since there is a constant process of self-infection and neoplasms appear even before the old nodules disappear.

Until the rash completely disappears, patients are advised not to use saunas, not to visit swimming pools and gyms, and not to resort to the services of massage therapists. In everyday life, it is necessary to clearly separate personal and public things; after sexual intercourse, it is imperative to take a shower and inform your partner about your illness.

In adults, various methods of cauterization are used as the main methods of treating molluscum contagiosum - chemical (iodine, hydrogen peroxide, celandine, acids), thermal (laser, diathermocoagulation, cryotherapy) and others. The choice of method in a particular case depends on the location and abundance of rashes, as well as the recurrence of the manifestation of the disease.

In the presence of a very large number of nodules (generalized forms of molluscum contagiosum), tetracycline antibiotics (tetracycline, oletethrin, metacycline, doxycycline, chlortetracycline) should be prescribed. During the entire period of therapy, medical supervision is carried out by a specialist dermatovenereologist.

Molluscum contagiosum in children: treatment Komarovsky

What to do and how to treat molluscum contagiosum in children will be told by the famous pediatrician Komarovsky.

Folk remedies

How to treat? To dry the skin, which contributes to the speedy disappearance of pathological foci formed by the mollusk, several means are used to choose from:

• tincture of string or bird cherry;
• gruel from fresh ground bird cherry leaves as a compress;
• a solution of potassium permanganate for wiping the affected areas;
• infusion of celandine (both alcohol and water);
• garlic juice (used as a homemade moxibustion method).

However, it should be remembered that the treatment of molluscs on the skin without an established diagnosis and at home is dangerous, and this is caused by certain risk factors:

• there is a danger of missing a serious skin disease, such as malignant or benign skin growths.
• certain forms of molluscum contagiosum occur together with AIDS, therefore, in such cases, special forms of treatment are required.

In this regard, it is possible to use exclusively folk remedies for the treatment of molluscum contagiosum only after consulting a dermatologist, making sure the diagnosis is accurate.

Forecast and prevention

Self-healing is possible, but with the spontaneous disappearance of external manifestations, the transition of the virus to an inactive stage and its reactivation with a decrease in immunity is not ruled out. Complex treatment allows you to get rid of the disease, but does not prevent re-infection, because immunity is not produced during this infection.

After competent removal of nodules or their independent regression, the skin is cleansed. If the deep dermal layers are not damaged, scars do not form. But with the development of molluscum contagiosum against the background, and some other dermatological diseases, healing can occur with scarring.

Prevention of the disease is as follows:

• legibility in the choice of sexual partners;
• early detection of the disease;
• timely treatment of patients and their partners;
• full compliance with hygiene rules (daily shower with change of underwear, weekly change of bed linen);
• careful regular examination of the skin of children who go to kindergartens, nurseries, schools.

Our skin is a protection against various external irritants, and we also judge the health of the whole organism as a whole by the condition of the skin. Without exception, all parents are very sensitive to the cleanliness of the skin of their children.

This is understandable, because this is the easiest way to judge whether everything is in order with the baby. In a healthy state, the child's skin is smooth, matte in color, slightly cool to the touch. Any kind of rash causes anxiety in parents, especially if the rashes are plentiful and even filled with liquid inside. How to behave in case of detection of such a rash, what is molluscum contagiosum and how to treat it - these simple information will help parents respond correctly and in a timely manner.

The essence of the disease

So, if on the body of your baby you find white-pearl or pale pink pimples filled with liquid, and when pressed, the curd mixture flows out of them, then most likely your baby has become infected with molluscum contagiosum.

What the rash looks like with molluscum contagiosum, look at the photo, the disease is especially common in children aged from one to 5 years, in rare cases up to 10 years.

What are the causes of the disease in a child

This is a skin disease caused by the molluscum contagiosum virus. That is, the cause of the rash is a virus. The favorite environment of the virus is humid and warm, it spreads well in places where children congregate (kindergartens, swimming pools, sandboxes).

In addition to direct contact, the virus can be transmitted through the use of toys or household items that have been infected. Poor hygiene in the home where the baby lives can also cause the spread of this virus.

Symptoms and classification of molluscum contagiosum in children

In addition to rashes, this disease does not have any other tangible or visible symptoms. The rash spreads and evolves most often like this:

• first, bubbles appear slightly protruding above the surface of the skin;
• usually they can be everywhere on the body: on the limbs, on the trunk, on the stomach, on the face, on the buttocks, but not on the palms and feet;
• in the initial stage, the rashes are dome-shaped and flesh-colored;
• then the shade changes to pinkish, the shape is semicircular, the bubbles are soft to the touch;
• localization of rashes can be either single or multiple;
• the tip of the pimple has a pearly hue and a slight depression;
• when pressed, there is no pain syndrome and a curdled cork filled with a virus is released;
• in rare cases, itching is possible.

The classification of molluscum contagiosum is closely related to the type and area of ​​​​rashes.

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• classic shape- single bubbles of a semicircular shape, protrude above the skin, have a small depression on top;
• gigantic shape- large plaques up to 2 cm in diameter, sometimes merge, but can also be located separately;
• pedicular form- a small number (usually no more than 10) plaques on a thin stalk;
• generalized form- plentiful and large rashes;
• miliary form- resembles a generalized form, rashes are plentiful, but small.

Diagnosis of the disease

The diagnosis is made by a doctor based on a visual examination. In some cases, a skin sample is taken from the rash for microscopic examination.

Molluscum contagiosum in children - treatment

Since the cause of the disease is a virus, the child's body must develop immunity against this virus. Thus, within a few months, the disease heals itself. To avoid possible relapses, please review the following treatments.

• mechanically remove all rashes on the child's body: they are removed with tweezers or a scalpel, then cauterized with iodine. It should be noted that this method is painful and can be applied to children from 3 years old and with a small number of rashes.
• All rashes can be painlessly removed with a laser. This method is good because it does not leave marks on the skin after the procedure, it is absolutely sterile, well tolerated by children. After the removal of molluscs with a laser, relapses occur in very rare cases.
• In the treatment can be used.
• Antibiotics are used extremely rarely and only when the disease is advanced.

Preventive measures

Prevention of the disease consists in activities aimed at:

• strengthening the child's immunity;
• compliance with the daily routine and nutrition;
• maintaining cleanliness in the house where the baby lives;
• keeping the body, toys and household items clean.

Remember that a timely visit to the doctor will speed up recovery.

The opinion of Dr. Komarovsky

Molluscum contagiosum is a viral disease that manifests itself in children with profuse rashes on the body, and since its nature is viral, then its treatment is possible only by developing immunity to the pathogen, Dr. Komarovsky believes.

In addition, he claims that no methods of strengthening immunity in this disease have an evidence base. Give your body time and it will produce the necessary antibodies!

Molluscum contagiosum in a child - video

In the video, see recommendations for the treatment of molluscum contagiosum in children from a dermatologist. It is very important to consult a doctor in time, not to self-medicate and not to start the disease. Diagnosis of this disease is very simple for a specialist.

However, it can be difficult for ordinary people to determine the correct cause of rashes. Parents of children with atopic dermatitis, be especially vigilant for this kind of rash in your children.

The prognosis for molluscum contagiosum in children is generally positive. Helping the baby will consist in timely contacting the doctor and observing simple rules of personal hygiene and hygiene at home. Do not confuse this disease with or, only a doctor should determine the diagnosis and nature!

Molluscum contagiosum is caused by a virus. Infection occurs by skin contact with infected objects (towel, soft toys, etc.). The appearance of a single element can lead to spread to different parts of the skin. Most people are resistant to this virus, and even close contact does not cause illness. The risk of getting sick increases in very poor hygienic conditions and in hot climates. However, it is most common in people whose immune system is not working properly. Infection with molluscum contagiosum can occur at any age, however, in 8 cases out of 10 it is under the age of 15, and children from 1 to 4 years are most often ill. This disease is not dangerous and disappears within 12-18 months without any treatment.

Each mollusk looks like a small pearly white or pink dense tubercle, round in shape, about 1-5 mm in diameter. In the center of each mollusk there is a small depression (navel). When pressing on the nodule, a white curdled content is released. Nodules are located, as a rule, in groups on different parts of the skin. Extremely rare on the palms and soles.

After contact with the virus, the disease can develop within 2-8 weeks. Full development of molluscum contagiosum occurs within 6-12 weeks, and then declines. From the beginning of the appearance of the first element to complete recovery, it usually takes 12-18 weeks. However, this can last from 2 to 5 years.

For some people, the main problem is cosmetic unsightly, but this aspect does not bother children. Molluscum contagiosum does not cause any subjective sensations. After self-healing, there are no scars, in some cases areas of depigmentation remain. There may be inflammation of the skin around the nodules, which may require antibiotic treatment. It is especially unpleasant if the nodule is located on the eyelid, which can lead to eye complications. In this case, you will need to consult a specialist.

After complete recovery, a sufficiently stable immunity develops and re-infection develops extremely rarely.

If there are a very large number of nodules or larger than usual, this may be a marker of immunodeficiency and require a referral to a specialist.

Prevention

The chance of transmitting the molluscum contagiosum virus from a sick child to a healthy one is extremely small and therefore it makes no sense to isolate these children from others, from school, swimming pool, gym, etc. It is enough to comply with elementary sanitary and hygienic requirements. In addition, skin-to-skin contact should be avoided. It is necessary to ensure that children do not scratch the elements of the rash, and thus the spread of molluscum contagiosum to other areas of the skin does not occur. As long as at least one element is present, molluscum contagiosum is considered contagious.

Treatment

As a rule, molluscum contagiosum in children is best left untreated:

Passes by itself within 12-18 months and does not limit social life (school attendance, sports clubs, etc.);

Many of the treatments are painful;

Some treatments carry the risk of damage to surrounding tissues;

All procedures can lead to scarring, which does not occur with self-healing.

Some people choose to receive treatment for cosmetic reasons.

Any methods of treatment (freezing, diathermy, curettage, use of chemicals) are carried out only by specialists and are not carried out for children.

You can use imiquod cream if other treatments are not possible and there are large numbers or large nodules. It usually occurs in people who have problems with the immune system.

Dr Tim Kenny. Translation and adaptation - Komarovskaya E.A. , 2013.