Recognizing and Managing Eczematous Id Reactions to Molluscum Contagiosum Virus in Children
Autor: | Bernard A. Cohen, Elena Netchiporouk |
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Rok vydání: | 2012 |
Předmět: |
Male
medicine.medical_specialty Molluscum Contagiosum Administration Topical Eczema Asymptomatic Virus Dermatitis Atopic Diagnosis Differential medicine Humans Child Molluscum dermatitis Molluscum contagiosum Molluscum contagiosum virus biology Id reaction business.industry Papule medicine.disease biology.organism_classification Dermatology Hypersensitivity reaction Child Preschool Pediatrics Perinatology and Child Health Immunology Female Dermatologic Agents medicine.symptom business Follow-Up Studies |
Zdroj: | Pediatrics. 129:e1072-e1075 |
ISSN: | 1098-4275 0031-4005 |
DOI: | 10.1542/peds.2011-1054 |
Popis: | Molluscum contagiosum (MC) is a self-limiting cutaneous viral eruption that is very common in children. MC infection can trigger an eczematous reaction around molluscum papules known as a hypersensitivity or an id reaction. In addition, a hypersensitivity reaction can occasionally occur at sites distant from the primary molluscum papules. These eczematous reactions are often asymptomatic or minimally pruritic. We believe that id reactions represent an immunologically mediated host response to MC virus and a harbinger of regression. Therefore, these reactions often do not require treatment other than emollients. Moreover, topical steroids or immunomodulators may suppress this process and potentiate the spread of the primary MC infection. However, in symptomatic patients, treatment should not be withheld and short-course treatments of topical corticosteroids may be used. In this case series, we describe 3 cases of hypersensitivity reactions in otherwise healthy children with MC. We hope that our report will make clinicians more aware of this common eczematous response to MC and will improve the management and counseling of these patients and their parents. |
Databáze: | OpenAIRE |
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