Facial vs Non-facial Molluscum Contagiosum Infection in Children: A Cross-sectional Study

Authors

  • Nicolas Andre Ben Gurion University of the Negev, Faculty of Health Sciences, Beer-Sheva, Israel https://orcid.org/0000-0003-1728-409X
  • Eman Jurban Pediatric Department, Soroka University Medical Center, Beer Sheva, Israel
  • Adva Alyagon Ben Gurion University of the Negev, Faculty of Health Sciences, Beer-Sheva, Israel
  • Chen Moskovich Ben Gurion University of the Negev, Faculty of Health Sciences, Beer-Sheva, Israel
  • Or Kaplan
  • Gidon Test Pediatric Emergency Department, Soroka University Medical Center, Beer-Sheva, Israel https://orcid.org/0009-0000-0315-912X
  • Amir Horev Ben Gurion University of the Negev, Faculty of Health Sciences, Beer-Sheva, Israel; Pediatric Dermatology Service, Soroka University Medical Center, Beer-Sheva, Israel https://orcid.org/0000-0001-6646-9061

DOI:

https://doi.org/10.2340/actadv.v104.40091

Keywords:

Inflammation, Molluscum Contagiosum, Pediatric Dermatology

Abstract

Molluscum contagiosum is a common skin infection affecting different body areas, including the face. Previous data have shown cases of atypical lesions, notably on the face, and it was thought relevant to further examine differences between facial and non-facial lesions. All cases of children (0–18) diagnosed with molluscum contagiosum from 2013–2022 at the paediatric dermatology clinic of Soroka University Medical Center were retrospectively reviewed, and 615 children were included in the study. Facial lesions tended to be found in younger children (p = 0.018). Non-facial lesions were more erythematous (p < 0.001), itchier (p < 0.001), and showed similar patterns of ulceration (p = 0.078) and purulence (p = 0.779). The average lesion diameter was similar in patients with or without facial lesions (p = 1). Children with facial lesions were treated differently from patients without facial lesions (p < 0.001); however, there were no differences in treatment response. This research challenges assumptions concerning the severity of facial lesions, including eyelid lesions, by revealing that, overall, they exhibit less inflammation than non-facial lesions. Despite the potential for greater psychosocial burdens and impacts on self-esteem associated with lesions on the sensitive facial area, this study provides evidence that they are not inherently more worrisome and can be managed similarly to lesions found elsewhere in the body.

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Published

2024-07-02

How to Cite

Andre, N., Jurban, E., Alyagon, A., Moskovich, C., Kaplan, O., Test, G., & Horev, A. (2024). Facial vs Non-facial Molluscum Contagiosum Infection in Children: A Cross-sectional Study. Acta Dermato-Venereologica, 104, adv40091. https://doi.org/10.2340/actadv.v104.40091