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Case of the Month March 2017

Frans Radebe, NICD/NHLS & Dr Marcille Le Roux, University of Limpopo (Medunsa)

A 29-year old man presented to a dedicated STI clinic with discrete, nontender skin lesions on the pubis/groin consisting of multiple rounded, flesh-colored dome-shaped, pink waxy painless papules approximately 5 mm in diameter widely disseminated without plaque formation. The papules were umbilicated and contained a plug. There were no lesions elswewhere. The patient complained of irritation due to inflammation and stress cause by the infection which he had been experiencing for the last two months. The patient was HIV-infected with a CD4 cell count of 200 cells/mm3. A clinical diagnosis of molluscum contagiosum was made and the patient managed as per the national STI treatment guidelines, 2014.

Figure: A patient discrete dome-shaped lesions manifestations of Molluscum contagiosum

Question 1 - Describe the aetiology, epidemiology and clinical features of Molluscum contagiosum

Continue to Answer 1