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Hormones 2016

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Molluscum contagiosum<br />

They are typically pink or red, although they may have a tiny white or<br />

yellow head in the centre. If this head ruptures (splits), a thick yellowywhite<br />

substance will be released, which is highly infectious.<br />

It’s important not to squeeze the spots, as this will increase the risk of the<br />

infection spreading to other parts of the body.<br />

The spots associated with MC are usually painless, although they can<br />

sometimes be itchy and some people develop areas of red, dry and cracked<br />

skin around them.<br />

Most people will have between 20 and 30 spots, although people with a<br />

weakened immune system often have more. The spots may develop in small<br />

clusters and can be spread across different parts of the body.<br />

Common parts of the body affected by MC include the -<br />

• face,<br />

• neck,<br />

• trunk (torso),<br />

• limbs (NHS, 2014i).<br />

In sexually active adults, the spots usually appear on the groin area,<br />

spreading upwards over the pubic and abdominal (tummy) areas, genitals<br />

and inner thighs.<br />

The spots are usually firm, raised and painless. You may notice that some<br />

of the spots have a tiny grey head in the centre and look pearly. This head<br />

may rupture (split), causing a thick yellowy-white substance to escape. This<br />

substance is highly infectious so you should avoid handling or squeezing<br />

the spots, or shaving the skin in that area, as this can spread the infection to<br />

other parts of the body.<br />

The spots do not usually leave scars, but you may notice that each one leaves<br />

a tiny patch of lighter skin or a small pitted mark (umbrellahealth, <strong>2016</strong>b).<br />

How the condition progresses<br />

In many cases, the individual spots will start to crust over and heal within<br />

two months. Some people may experience mild swelling and redness<br />

around each spot as it begins to heal.<br />

The spots do not usually leave scars, but they may leave a small area of<br />

lighter skin or a tiny pitted mark.<br />

As the virus that causes MC can spread to other parts of the body, new spots<br />

may develop as the old ones are healing. This can result in an episode of MC<br />

lasting for quite a long time.<br />

Most cases clear up within around 6–18 months, but the condition can,<br />

occasionally, persist for several years (NHS, 2014i).<br />

374<br />

Version <strong>2016</strong>.3576– – Document LATEXed – 1st May <strong>2016</strong><br />

[git] • Branch: 1.5 @ 26b5e6d • Release: 1.5 (<strong>2016</strong>-05-01)

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