Pearls on the hip
How to cite this article: Narayanan A. Pearls on the hip. CosmoDerma 2023;3:17.
A 6-year-old boy presented with multiple umbilicated and pearly papules on the hip [Figure 1a]. Dermoscopy revealed a central poly-lobular white amorphous structure [Figure 1b]. Tzanck smear of the central white core demonstrated basophilic intracytoplasmic bodies [Figure 1c]. Based on the clinical, dermoscopic, and Tzanck smear, we made a final diagnosis of molluscum contagiosum and treated them using currettage. Molluscum contagiosum is caused by molluscum contagiosum virus and presents as small, firm, dome-shaped, and pearly papules with central umbilication. Dermoscopy of molluscum contagiosum reveals poly-lobular white to yellow amorphous structure with a peripheral crown of linear or branched vessels. Tzanck smear demonstrates Henderson-Paterson bodies which appear as ovoid and basophilic bodies with a hyaline homogenous structure. Treatment for molluscum contagiosum includes curettage, electrosurgery, cryotherapy, and trichloroacetic acid.
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