The Core of the Matter

I agree with Dr Kirk Barber's comments about treating molluscum contagiosum: that removal of the lesion's core is curative and that autoinoculation at the time of treatment is only a small concern.¹ I have found, however, that it is not necessary to go through the trouble of removing the core. As long as the lesion is opened (not just simply punctured), results are the same. This saves significant time, scarring, and-most of all-trauma for the patient.

Since this discovery, I have been more aggressive at opening/unroofing the smallest of lesions, which leads to quicker resolution and lessens the need for return visits.

-David Blank, MD
   Las Vegas

References:

REFERENCE:

1.

Barber K. Tips on treating molluscum.

Consultant For Pediatricians.

2007;6:204.