Effective Treatment Options for Molluscum Contagiosum: What to Do Next - Dermatology

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Molluscum contagiosum is a common viral skin infection caused by the molluscum contagiosum virus (MCV), which typically manifests as small, raised, flesh-colored or pearly bumps on the skin. These lesions can be itchy or irritating, and they often resolve on their own over time, but treatment is often sought for cosmetic reasons or to alleviate discomfort.

In your case, it sounds like you have undergone cryotherapy and have been prescribed imiquimod (the "紫菌素" you mentioned), which is an immune response modifier that can help the body fight off the virus. It is not uncommon for molluscum lesions to become raised or inflamed during treatment, and sometimes they may even bleed if they are irritated or if they begin to resolve.

Here are some recommendations for your situation:
1. Do Not Self-Remove: It is generally not advisable to attempt to remove molluscum lesions yourself. Picking at them can lead to secondary infections, scarring, or the spread of the virus to other areas of your skin or to other people. If a lesion has fallen off, it is best to leave the area alone.

2. Keep the Area Clean: You should gently clean the area with mild soap and water. Avoid scrubbing, as this can irritate the skin further. After cleaning, you can apply a topical antibiotic ointment (like Neosporin) to prevent infection, especially if there is an open area where the lesion fell off.

3. Continue Treatment: Continue using the imiquimod as prescribed. It is important to follow your healthcare provider's instructions regarding the frequency and duration of treatment. Imiquimod works by stimulating the immune system to fight the virus, and it may take several weeks to see significant improvement.

4. Monitor for Infection: Watch for signs of infection, such as increased redness, swelling, warmth, or pus. If you notice any of these symptoms, or if the area becomes increasingly painful, you should contact your healthcare provider.

5. Follow-Up Appointment: It may be beneficial to schedule a follow-up appointment with your healthcare provider, especially since you have multiple lesions and some have changed in appearance. They can assess the situation and determine if additional treatments are necessary, such as further cryotherapy, curettage (surgical removal), or other topical treatments.

6. Avoid Spreading the Virus: Molluscum contagiosum is contagious, so it is important to avoid sharing towels, clothing, or personal items. Additionally, refrain from scratching or touching the lesions, as this can spread the virus to other parts of your body or to other individuals.

In conclusion, while molluscum contagiosum can be frustrating, it is generally self-limiting. With appropriate care and treatment, most individuals see resolution of their lesions over time. If you have any concerns about your treatment or the appearance of your skin, do not hesitate to reach out to your healthcare provider for personalized advice and management.