Clinical presentation

The classic lesions of MC consist of dome shaped, flesh-coloured 2-6 mm papules with central umbilication containing either a molluscum body or caseous material. The papules can be pruritic.  Molluscum altered by the immunosuppression of HIV is often larger and more numerous; and persistent lesions may occur. MC tends to appear in patients with HIV infection with advanced disease.^[61] Most commonly, MC is on the face, neck, genitals, creases and folds or sites of friction e.g. axilla and groin.