GuidelinesIMCI
Non-Itchy Skin Rash
IMCI - Skin problems
Molluscum Contagiosum
Look
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Signs
- Caused by a poxvirus
- Dome-shaped papules with a central depression (umblication)
- Most commonly seen on the face and trunk in children
Treat
- Allow to heal spontaneously if few in number
- Apply a tincture of iodine BP to the core of individual lesions using an applicator
- Refer children with:
- Extensive lesions
- No response to treatment
- Lesions close to the eye (to an ophthalmologist)
Features in HIV Infection
- Incidence is higher
- More than 100 lesions may be seen
- Lesions often chronic and difficult to eradicate
- Extensive molluscum contagiosum indicates Stage II HIV disease
Warts
Look
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Signs
- Appears as papules or nodules with a rough surface
- Seen most often on the hands and fingers, but can be found anywhere on the body
Treat
- May be left alone to wait for improvement
- Apply salicylic acid 15-20% to the warts
- Protect surrounding skin with petroleum jelly
- Apply daily to the wart and allow to dry
- Occlude for 24 hours
- Soften lesions by soaking in warm water, and remove loosened keratin
- Repeat process daily until the warts disappear - Refer if extensive
Features in HIV Infection
- Lesions are numerous and recalcitrant to therapy
- Extensive viral warts indicates Stage II HIV disease
Seborrhoeic Dermatitis
Look
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Signs
- Greasy scales and redness on central face, body folds
- The scalp, face, ears and skin folds (e.g. axillae, groins, under the breasts) are commonly affected
Treat
- Apply hydrocortisone 1% cream to the face and flexures
- For scalp itching, scaling and dandruff: wash hair and scalp 2-3 times a week with selenium suphide 2.5% suspension
- If severe, refer
Features in HIV Infection
- May be severe in HIV infection
- Secondary infection may occur
Integrated Management of Childhood Illness 2022; Skin problems; Non-itchy Skin Rash
Last checked for updates: June 2023