Molluscum Contagiosum
Small, smooth, pearly bumps with a tiny dimple in the centre, caused by a common skin virus. Mostly affects children. Harmless, and clears on its own, usually within 6 to 18 months.
Treatment options
Ratings show how strong the research is.
- Moderate evidenceLeaving it aloneThe best approach for most children. No treatment has clearly beaten waiting in trials. Spots often go red and inflamed just before they clear, which is a good sign.
- Limited evidenceTreating eczema around spotsA moisturiser or mild steroid cream on itchy skin nearby reduces scratching and spread.
- Limited evidenceWart paint or tape strippingPharmacy salicylic acid on a few spots, protecting nearby skin with petroleum jelly. May speed clearing a little but can irritate.
- Limited evidenceFreezing or scrapingDone by a doctor for a few stubborn spots in older children or adults. Painful and can scar.
- Not recommendedPicking or squeezing at homeSpreads the virus and can cause scarring and infection.
What you can do
- Keep nails short and avoid scratching or shaving over spots.
- Don’t share towels, baths or clothing. Cover spots for contact sports.
- No need to miss childcare, school or swimming.
- Moisturise dry skin.
See your GP if
- Spots near the eye or on the eyelid
- Spots are painful, swelling or oozing pus
- An adult with spots on the genitals (a sexual health check is worthwhile)
- Many large spots, or a weakened immune system
See a doctor the same day for a red, painful eye, spreading hot red skin with fever, or a child who seems unwell.
Evidence and more information
- Healthdirect: Molluscum contagiosum
- NHMRC Staying Healthy: Molluscum contagiosum
- Perth Children’s Hospital: Molluscum guideline
- Cochrane: Treatments for molluscum
maladywise.com/molluscum/