Neobook — clinical reference

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ICD 10 code: B08.1

DESCRIPTION

Infectious disease caused by a poxvirus
Presents with dome-shaped papules with a central depression (umbilication). Varies from occasional lesions to large crops of lesions particularly in immunocompromised or HIV-infected patients
Papules are commonly seen on the face in children, but may be found at any skin site, except on the palms and soles. They may also occur on the genitalia as an STI
Most infections resolve spontaneously except in the immunocompromised

GENERAL MEASURES

In non-genital molluscum contagiosum:

Allow lesions to heal spontaneously if the lesions are few in number and the patient not immunocompromised
Manual removal of lesions or expression of contents is not recommended as it may result in unintentional inoculation of other parts of the body, increase the risk of spread to others, or result in secondary bacterial infection

LoE:IVb²⁷

In genital molluscum contagiosum:

Counsel on risk reduction for transmission of STIs
Counsel that the partner(s) should be notified, examined, and treated

MEDICINE TREATMENT

Tincture of iodine BP, applied to core of individual lesions using an applicator

LoE:IIIb²⁸

CAUTION
Beware of hypersensitivity to iodine

REFERRAL

Extensive disease
Those failing to respond to simple measures
Peri-ocular lesions to an ophthalmologist

Click here to access the pdf.

Standard Treatment Guidelines and Essential Medicines List for South Africa, Primary Healthcare, 2020-2024_Version 1.0_07 November 2024

Chapter 5: Skin Conditions_5.12 Molluscum Contagiosum

ICD-10 codes