Pregledni rad
Mollusca Contagiosa
Karmela Husar
Mihael Skerlev
Darko Husar
Sažetak
Mollusca contagiosa (MC) are defi ned as a common cutaneous viral infection caused by the Molluscipox virus (MCV) and affecting both children and adults. MC are clinically characterized by small, waxy, dome-shaped umbilicated papules. Whereas mollusca contagiosa are rather frequent in 1-5 year-old children and can be localized almost anywhere on the body, their appearance in adults is mostly regarded as a sexually transmitted infection (STI). MCV might be transmitted
directly from person to person or by autoinoculation. MC in adults characteristically involve the genital area. However, the extragenital appearance of MC in adults is more typically seen in patients with immunosuppressive conditions, especially in HIV/AIDS patients. The onset of MC in HIV-positive individuals can be, according to the current literature data, regarded as a part of the immune reconstitution inflammatory syndrome (IRIS). It is most probable that MC affect both sexes equally in children’s age, whereas in adults they seem to be more frequent in men. Therapy may be beneficial in preventing transmission or autoinoculation. Unfortunately, there has been no etiological treatment of MC so far, and the majority of treatment options are mechanical, causing sometimes a certain degree of discomfort, or are not enough "evidence-based". Special
attention should be given to the extragenital site of MC involvement
in adults, and HIV serology testing should certainly be recommended in such patients. Both children and adults with MC should be educated to avoid scratching and skin contact with others to prevent transmission and autoinoculation. Besides, adult patients with MC should be carefully screened for other STIs and counseled appropriately.
Ključne riječi
mollusca contagiosa; STI; IRIS
Hrčak ID:
48273
URI
Datum izdavanja:
19.2.2009.
Posjeta: 5.551 *