Red flags & when to go in person for Molluscum Contagiosum

Audience: pediatric

Molluscum contagiosum is a common skin infection in children that causes small, painless bumps. These bumps usually go away on their own within several months to a few years. While telemedicine can help with identifying and managing molluscum contagiosum, some signs mean you should see a healthcare provider in person. These include if the bumps become very red, swollen, or painful, if they spread quickly or cover a large area, or if your child has a weakened immune system. Knowing when to seek in-person care helps ensure your child gets the right treatment and avoids complications. This guide explains what to watch for, how telemedicine can assist, and what steps to take before and after a virtual visit.

Red flags — go in person / ER

• Bumps that become red, swollen, or painful — seek in-person care promptly.
• Rapid spreading of bumps over large areas of the body — consult a healthcare provider in person.
• Signs of bacterial infection such as pus, crusting, or fever — urgent in-person evaluation needed.

What telemedicine can do

• Initial assessment and identification of molluscum contagiosum.
• Providing advice on home care and prevention.
• Determining if in-person care is needed based on symptoms and images.

What telemedicine cannot do

• Performing physical treatments like removal or curettage.
• Diagnosing or managing bacterial skin infections requiring antibiotics.
• Evaluating complications near sensitive areas such as eyes or genitals in detail.

What is Molluscum Contagiosum?

Molluscum contagiosum is a skin infection caused by a virus. It leads to small, round bumps that are usually flesh-colored and have a dimple in the center. These bumps are often painless but can sometimes itch or become irritated. The infection spreads through direct skin contact or by touching contaminated objects.

When to Watch Closely

Most molluscum bumps clear up without treatment. However, watch for signs that may need medical attention:

If you notice any of these, it is important to see a healthcare provider in person.

How Telemedicine Can Help

Telemedicine allows you to show your child's skin bumps to a healthcare provider through video or photos. Providers can often identify molluscum contagiosum and advise on care and prevention. They can also help decide if in-person care is needed. Telemedicine is convenient and reduces exposure to other illnesses.

When to Go In Person

You should seek in-person care if:

In-person visits allow for treatments that cannot be done remotely.

Preventing Spread and Care at Home

To help prevent spreading molluscum contagiosum:

Most bumps will resolve on their own, but patience and good hygiene help.

How to prepare for your tele-visit

• Take clear photos of the skin bumps from different angles and in good lighting.
• Note when the bumps first appeared and any changes over time.
• List any symptoms such as pain, itching, or spreading.
• Prepare to describe any previous skin conditions or immune system issues.
• Have a list of questions or concerns ready for the healthcare provider.

After your tele-visit

• Follow the healthcare provider’s advice on home care and hygiene.
• Monitor the bumps for any changes or worsening symptoms.
• Schedule an in-person visit if red flags develop after the tele-visit.
• Avoid sharing personal items to reduce spread.
• Keep track of the bumps’ progress and report any new concerns.

FAQs

Is molluscum contagiosum contagious?

Yes, molluscum contagiosum spreads through direct skin contact or by touching objects that have the virus on them, like towels or toys. Good hygiene helps prevent spreading.

How long does molluscum contagiosum last?

The bumps often go away on their own within 6 to 12 months but can sometimes last up to a few years. Most children recover without treatment.

Can I treat molluscum contagiosum at home?

Yes, gentle skin care and avoiding scratching can help. Covering bumps and keeping the area clean reduces spread. Some treatments require a healthcare provider.

When should I see a doctor in person?

See a doctor if the bumps become painful, red, swollen, spread quickly, show signs of infection, or are near sensitive areas like the eyes or genitals.

Can telemedicine diagnose molluscum contagiosum?

Telemedicine can often identify molluscum contagiosum by reviewing photos or video of the bumps and discussing symptoms, but some cases may need an in-person exam.

Sources

1. Molluscum Contagiosum — MedlinePlus, U.S. National Library of Medicine.
2. Molluscum Contagiosum — Centers for Disease Control and Prevention (CDC).
3. Molluscum Contagiosum: Overview — Mayo Clinic.
4. Molluscum Contagiosum — Merck Manuals Consumer Version.

This telemedicine guidance is for educational purposes only and is not a substitute for in-person medical care. If your child has concerning symptoms or red flags, please seek prompt evaluation by a healthcare provider in person.