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Papules of Molluscum Contagiosum
In 1817, long before the recent increased incidence of molluscum contagiosum (MC), Bateman first described milky fluids or the Papules of Molluscum Contagiosum that could be expressed from characteristic lesions only. After him were the two researchers in the name of Henderson and Paterson who studied the Papules of Molluscum Contagiosum and described it later as cellular. But on the latest days of they realized they had discovered the hallmark intracytoplasmic inclusion body, appropriately named the Papules of Molluscum Contagiosum as molluscum body.
It was only until the early 20th century, that the medical community remained unsure of the etiology of the Papules of Molluscum Contagiosum. Certain authorities believed that the Papules of Molluscum Contagiosum to be enlarged sebaceous glands, while others postulated that a parasitic infestation caused the lesions. A coming through in the study of Papules of Molluscum Contagiosum occurred in 1905 when Juliusburg discovered and documented the viral nature of Molluscum Contagiosum.
The Papules of Molluscum Contagiosum virus causes three distinct disease patterns in three different patient populations, which are the children, adults who are immunocompetent, and patients who are immunocompromised (children or adults). Children acquire the Papules of Molluscum Contagiosum virus through either direct skin-to-skin contact or indirect skin contact via fomites such as gymnasium equipment and public baths. Lesions typically occur on the chest, arms, trunk, legs, and face.
For adults, the Papules of Molluscum Contagiosum is considered a sexually transmitted disease. As the Papules of Molluscum Contagiosum grows any where in the body especially in the genitals, then couples have the tendency to transfer the virus to other in most cases. In almost all cases too, involving healthy adults, patients exhibit few lesions, which are limited to the perineum, genitalia, lower abdomen, or buttocks. Generally, in populations that are immunocompetent, the Papules of Molluscum Contagiosum is a self-limited disease.
Those patients infected with human immunodeficiency virus (HIV) or patients who are otherwise severely immunologically compromised may experience a longer course with more extensive and atypical lesions. This is because they have the immune diffeciency that they may have easily get the virus. In patients infected with HIV, lesions generally are distributed more widely, frequently occur on the face, and may number in the hundreds.
As what has been told, in adults, the Papules of Molluscum Contagiosum is generally seen on the genitals as a sexually-transmitted disease. Because molluscum produces no serious illness and is not of long-term public health significance, it has not been treated as other sexually-transmitted diseases. The importance is significant in the growing population of immunocompromised people with Acquired Immune Defficiency Syndrome, who may develop a fulminating or rapidly worsening case of molluscum contagiosum.
According to those who have been infected, the lesion of molluscum begins as a small papule which may become raised up to a pearly, flesh-colored nodule. The Papules of Molluscum Contagiosum often has a dimple in the center or we call umbilication. These Papules of Molluscum Contagiosum may occur in lines, where the person has scratched and will definetly leave a scar. Scratching or other irritation causes the virus to spread in a line or in groups.
The Papules of Molluscum Contagiosum are approximately two to five millimeters in diameter and are painless. There is usually no inflammation and subsequently no redness unless the person has been digging or scratching at the lesions. In the mature molluscum, the top of the nodule may be opened with a sterile needle and a small waxy core can be seen and squeezed out of the lesion.
