A child with atopic eczema has numerous umbilicated papules and an itchy eczematous halo around several lesions, but no bacterial infection or immune

Question

A child with atopic eczema has numerous umbilicated papules and an itchy eczematous halo around several lesions, but no bacterial infection or immune deficiency. Which plan is most appropriate?

Accepted Answer

Treat molluscum dermatitis with topical corticosteroid and emollient while observing the lesions

Answer

Curette every lesion under general anaesthesia because atopy prevents spontaneous resolution

Answer

Give oral aciclovir because widespread lesions in eczema indicate disseminated herpes simplex

Answer

Start oral antibiotics because an eczematous halo is diagnostic of secondary bacterial infection

Answer

Withhold topical corticosteroid because it may promote dissemination of molluscum lesions

Molluscum contagiosum — SCE Dermatology MCQ

A child with atopic eczema has numerous umbilicated papules and an itchy eczematous halo around several lesions, but no bacterial infection or immune deficiency. Which plan is most appropriate?