Molluscum contagiosum: The Daily PANCE Blueprint
An 8-year-old female presents with flesh-colored, dome-shaped papules on her face. What’s the most likely diagnosis?
A. Papular urticaria
B. Molluscum contagiosum
C. Lichen planus
D. Keratoacanthoma
E. Closed comedones
Answer and topic summary
The answer is Molluscum contagiosum
This clinical presentation is most consistent with molluscum contagiosum, a common viral skin infection caused by a poxvirus. It typically presents as flesh-colored, dome-shaped papules with central umbilication. The lesions are often found on the face, trunk, and extremities in children. Molluscum contagiosum is spread through direct contact or contact with contaminated objects. In most cases, the lesions resolve spontaneously within 6 to 12 months, but treatment may be considered for cosmetic reasons or to prevent spread. Treatment options include cryotherapy, curettage, topical medications (e.g., cantharidin, imiquimod), and observation.
View blueprint lesson
Smarty PANCE Content Blueprint Review:
Covered under ⇒ PANCE Blueprint Dermatology ⇒ ⇒
Also covered as part of the Family Medicine Rotation PAEA EOR topic list