A benign viral infection of the skin, caused by a pox virus. In immunocompetent patients, lesions often resolve within 6-12 months, after the host develops immunity to the virus. In persons with HIV, there is a strong correlation between the number of lesions, their resistance to treatment, and the degree of immunocompromise.
Patient complains of new or increased acne-like lesions on the face, upper trunk or genitals.
No complaints of pain, itching or burning are associated with these lesions. Note presence, distribution and number of flesh-colored papules. Look for umbilicated lesions with white centers. Rule out disseminated cryptococcosis, which may superficially resemble Molluscum . Treatment is only indicated in the presence of bothersome or distressing lesions.