This 30-year-old sexually active man complained of itchy bumps in the genital area. He was treated with liquid nitrogen, and laboratory studies for other sexually transmitted were pending. He was also advised to have his sexual partner evaluated. Molluscum contagiosum, a viral infection induced by a poxvirus, is characterized by single or much oftener multiple, rounded, dome-shaped, pink, waxy papules 2 to 5 mm (or rarely up to 1 cm) in diameter, which are umblicated and contain a caseous plug. The principal sites of involvement include the face, hands, and through sexal transmission most commonly in adults, the lower abdomen and genitals. The papules are commonly found on the other parts of the skin and at times are widely distributed. They may also occur on the mucosa membranes of the lip, tounge, and buccal mucosa. The palms are spared, but solitary molluscous has been repoted on the sole. Perilesional dermatitis and conjunctivitis may also be present and have been attributed to toxic substances produced by the virus or to a hypersensitivity reaction to the virus.
In sexual active individuals the lesions may be confined to such genital areas as the penis, pubis and inner thighs as in this case. Adults with extensive lesions outside the genital area must be evaluated for immunosuppression, especially Human Immunodeficiency Virus infection.
Description
A 30-year.old sexualy active male with chief complain of multiple skin-colored, dome-shaped papules confined to genital areas as the penis, pubis and inner thighs. Patient is under weekly cryotherapy with liquid nitrogen, STDs evaluation is underway, patient was advised about sexual behaviour and partner follow-up too.
