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Rash like ECZEMA in elbow. MOLLUSCUM CONTAGIOSUM?

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My 6 year old has this rash on his elbows and knees, few months ago he was treated for "molluscum contagiosum" im taking him back to the dermatologist next week, but i want to know if anyone has a clue if this is the same thing that came back or something else, before he just had what looked like small pimples, that went away and now he has a rash that look like ezcema, but it doesnt feel itchy to him.

Category: Family Physician-GP

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Category: HIV- AIDS Specialist
 18 Doctors Online

Hello,
Thank you for your query at DoctorSpring.com
From the images that you have sent, and with a recent history of molluscum, the bumps look like to be molluscum infection once again. In absence of itching/irritation/pain, it is unlikely to be eczema. One more thing that goes in favor of molluscum is the cluster of the bumps and the fact that they are all raised.
I will advise you to give her Tab. Levocetrizine 5 mg once at bed time.
In case there is no improvement the diagnosis of molluscum will be confirmed.
Regards.


Patient replied :

thank you, is there any treatment you suggest for molluscum? His Skin looks soo irritated.


Hello,
Thank you for the follow up.
Currently she has more of an eczematous reaction. It can happen as a response to the molluscum virus. Normally molluscum should go away on it's own. Due to side effects, drugs are not prescribed to control molluscum in children. A good diet, multivitamins, and good immunity is stressed upon. For the eczema, Tab. Levocetrizine can be given, which will help the eczema subside, or locally you can apply Calamine lotion, it will reduce the itching and subsequently the irritation.
If the molluscum is still not controlled, Topical Imiquimod has been seen to be effective.
Regards.


Dr. Jaydeep Tripathy
Category: HIV- AIDS Specialist
Experience: 
MBBS from Sri Ramachandra University in December 2011
M.Med (Family Medicine) - TNMGR University, Chennai
MBA-MPH in Public Health in March 2016, SRM University
Finished AFIH in March 2016, SRM University
MRCP ( UK ), Internal Medicine, Royal College of Physicians, June 2016
Fellowship in Diabetology from Martin Luther University in January 2017

Currently Resident Physician, in MD Radiodiagnosis - Kamakshi Memorial Hospital, Chennai
Dr. Jaydeep Tripathy and 4 other Medical Specialists are ready to help you

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