Raquel Bozzetto Machado, Tanira Ferreira Leal, Raquel Bonfá, Monia E.Werlang, Magda Blessmann Weber
Surg Cosmet Dermatol. 2010;2(4):272-275
Abstract
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PDF Portuguese
Introdução: Molluscum contagiosum is a dermal viral infection commonly occurring
in childhood. Although self-limited, this disease is contagious and involves complications
such as pruritus, eczema and bacterial superinfection. A therapeutic approach is often
required, and treatment selection depends on its effectiveness and patient tolerance.
Objective: Compare 3 treatments in children regarding efficacy, adverse effects and psychological
impact, in efforts to customize the treatment approach.
Methods: Randomized, comparative and prospective study of patients aged 3 to 15,
divided into 3 groups.The trunk and face were the most frequently affected sites. Group
1 was treated with 10% potassium hydroxide,Group 2 with a combination of salicylic and
lactic acids, and Group 3 with curettage. Parental satisfaction regarding comfort and treatment
cost was assessed in each group.
Results: Although some tendencies could be identified, the study did not detect statistical
differences between the treatment groups. Group 1 experienced more pain, and a
greater number of patients with complications at the end of the follow-up period. Group
3 patients were more cooperative in their treatment, since this method was the quickest
and presented the fewest side effects, resulting in greater parental satisfaction.
Discussion: Curettage (Group 3) and the combination of salicylic and lactic acids
(Group 2) were equally effective, although the results for Group 2 were more gradual.
Conclusion: Treatment of this condition must be individualized, taking the patients’
preference, tolerance and availability of time into consideration.