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SKINDIA QUIZ |
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Year : 2015 | Volume
: 6
| Issue : 1 | Page : 58-59 |
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SkIndia Quiz 16: A girl with a grotesque face
Sudip Das
Department of Dermatology and Venerology, NRS Medical College and Hospital, Kolkata, India
Date of Web Publication | 8-Jan-2015 |
Correspondence Address: Sudip Das P103 Bosenagore Madhyamgram 24 Parganas (n), Kolkata - 700 129 India
 Source of Support: None, Conflict of Interest: None  | Check |
DOI: 10.4103/2229-5178.142609
How to cite this article: Das S. SkIndia Quiz 16: A girl with a grotesque face. Indian Dermatol Online J 2015;6:58-9 |
A 10-year-old girl reported with large tumorous masses on the face for about 6 months [Figure 1]. These started as small eruptions. Few of them were ulcerated and secondarily infected. The patient was HIV negative and CD4 cell count was 830/cu mm. Histopathology from a smaller lesion showed hypertrophic lobular epidermis and few epidermal cells were hugely distended with intracytoplasmic inclusion bodies [Figure 2].  | Figure 1: Numerous umbilicated and ulcerated papules and nodules on the face
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What is the diagnosis? | |  |
View Answer
Answer | |  | Giant molluscum in an immuocompetent individual. Discussion | |  | Molluscum contagiosum (MC) is a common viral infection appearing as solitary or a small group of characteristic flesh colored, translucent papules on face, trunk, genitalia, and other body parts. Increased number of lesions may be seen in malignancies, immunosuppresion due to disease or drugs. [1] In patients with acquired immune deficiency syndrome, [2] the lesions affect the eyelids, conjunctiva, can be of huge size (10-15 mm) and number and resistant to therapy. MCs of such number, size, and secondary changes are unusual in the immunocompetent individual. Confirmation is by demonstrating enlarged epithelial cell with intracytoplasmic molluscum bodies. Differential diagnoses include folliculitis, warts, keratoacanthoma or cryptococcosis. Treatment modalities include cyotherapy, extirpation followed by cauterization of the base, or chemical cautery. In our patient, surgical excision combined with electro cautery was performed resulting in complete clearance and cosmetic improvement. [Figure 3].
References | |  |
1. | Kumar P, Chatura KR, Jagannath VK, Hara. Giant molluscum contagiosum in an infant. Indian J Dermatol Venereol Leprol 1999;65:290-1.  [ PUBMED] |
2. | Langewar DN, Shroff HJ, Kohli MA, Hira SK. Cutaneous cryptococcosis and molluscum contagiosum occurring in the same lesion in a patient with AIDS. Indian J Dermatol Venereol Leprol 1998;64:25-8.  [ PUBMED] |
[Figure 1], [Figure 2], [Figure 3]
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