Illness & Symptoms
Molluscum
Is this your child's symptom?
- Small raised growths that have a smooth, waxy surface
 - The medical name is molluscum contagiosum
 - Viral infection of the skin
 - A doctor has told you your child has molluscum or
 - Your child has had close contact with another person who has it
 
Symptoms of Molluscum
- Small bumps with a skin-colored, smooth surface
 - Most have a tiny dimple (indent) in center
 - Bumps are firm with a core of white material.
 - Are many different sizes, from pinhead to ¼ inch (3 to 6 mm) across
 - Can occur anywhere on the body, but usually stay in just one area
 - Are sometimes itchy, but not painful
 - Usually age 2 to 12 years
 - Most infected children get 5 to 10 of them
 
Cause of Molluscum
- They are caused by a poxvirus. This is a different virus than the one that causes warts.
 - Friction or picking at them causes them to increase in number.
 
To Treat or Not to Treat?
- Some doctors advise not treating them if there are only a few. Reason: They are harmless and painless.
 - They have a natural tendency to heal and go away on their own.
 
When Special Treatment is Considered
- Your child picks at them
 - They are in areas of friction (for example, the armpit)
 - They are spreading quickly or
 - You feel they are a cosmetic problem
 
Prevent Spread to Others
- Avoid baths or hot tubs with other children. Reason: can spread in warm water.
 - Also, avoid sharing washcloths or towels.
 - Contact sports: can spread to other team members. They should be covered or treated.
 - Time it takes to get them: 4 to 8 weeks after close contact.
 
When to Call for Molluscum
 Call Doctor or Seek Care Now
  |  
  Contact Doctor Within 24 Hours
 Contact Doctor During Office Hours
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  Self Care at Home
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Call Doctor or Seek Care Now
- Redness or red streak spreading from molluscum with fever
 - Your child looks or acts very sick
 
Contact Doctor Within 24 Hours
- Redness or red streak spreading from molluscum without fever
 - You think your child needs to be seen
 
Contact Doctor During Office Hours
- Molluscum on the face
 - 4 or more molluscum
 - Your child can't stop picking at the molluscum
 - Pus is draining from the molluscum. Apply antibiotic ointment 3 times per day until seen.
 - On treatment more than 2 weeks and new molluscum appear
 - On treatment more than 12 weeks and molluscum not gone
 - You have other questions or concerns
 
Self Care at Home
- Molluscum: 3 or less
 
Care Advice for Molluscum
What You Should Know About Molluscum:
- They are harmless and painless.
 - Most will go away on their own in 6 to 12 months.
 - Duct tape treatment will make them go away faster.
 - Wart-removing acids are not helpful.
 - Here is some care advice that should help.
 
Duct Tape - Cover the Molluscum:
- Covering them with duct tape can irritate them. This turns on the body's immune system.
 - Cover as many of them as possible. Cover at least 3 of them.
 - The covered ones become red and start to die. When this happens, often all of them will go away.
 - Try to keep them covered all the time.
 - Remove the tape once per day, usually before bathing. Then replace it after bathing.
 - Some children don't like the tape on at school. At the very least, tape it every night.
 
Prevent the Spread to Other Areas of Your Child's Body:
- Discourage your child from picking at them.
 - Picking it and scratching a new area with the same finger can spread them. A new one can form in 1 to 2 months.
 - Chewing or sucking on them can lead to similar bumps on the face.
 - If your child is doing this, cover them. You can use a bandage.
 - Keep your child's fingernails cut short and wash your child's hands more often.
 
What to Expect:
- Without treatment, they go away in 6 to 18 months.
 - If covered with duct tape, they may go away in 2 or 3 months.
 - If picked at often, they can become infected with bacteria. If this happens, they change into crusty sores (impetigo).
 
Return to School:
- Your child doesn't have to miss any child care or school.
 - There is a mild risk of spread to others.
 
Call Your Doctor If:
- Your child continues to pick at them
 - New ones develop after 2 weeks of treatment
 - They are still present after 12 weeks of treatment
 - You think your child needs to be seen
 
Remember! Contact your doctor if you or your child develop any "Contact Your Doctor" symptoms.
Disclaimer: this health information is for educational purposes only. You, the reader, assume full responsibility for how you choose to use it.
Copyright 2000-2025 Schmitt Pediatric Guidelines LLC.
Reviewed: 5/1/2025 Updated: 1/25/2025

