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.
Significant improvement is seen after highly effective antiretroviral therapy is started.
Refer to a dermatologist for evaluation and treatment. Topical Retin-A to prevent recurrences. Avoid shaving in areas with lesions, as they can be spread to other sites. Molluscum infection is sexually and non-sexually transmissible through direct contact with lesions. If the dermatologist prescribes topical therapy with Retin-A or cantharidin, don't use these drugs on the genitals or around the eyes, since they can be very irritating to such sensitive skin.