Harel Avikam, Kutz Ana Maria, Hadj-Rabia Smail, Mashiah Jacob
Pediatric Dermatology Unit, Tel Aviv Sourasky Medical Center, Tel Aviv, Israel.
Department of Dermatology, Tel Aviv Sourasky Medical Center, Tel Aviv, Israel.
Pediatr Dermatol. 2016 Nov;33(6):640-645. doi: 10.1111/pde.12968. Epub 2016 Sep 7.
BACKGROUND/OBJECTIVES: Molluscum contagiosum (MC) is a common viral disease primarily affecting children. The objective was to compare the effectiveness of curettage as a treatment modality for MC with no treatment.
We performed a retrospective study of 2,022 children with MC between 2008 and 2012. Epidemiologic, clinical, and treatment data, including effectiveness, safety, and satisfaction, were reviewed.
Fifty-six percent of the children were 2 to 5 years of age. The duration of the infection was 1 to 2 years for 51%, less than 1 year for 32%, and more than 2 years for 17% of the children. Seventy percent of the children were self-referrals; 86% had had a previous examination and 76% of those had been advised not to treat the infection. The disease was mild (22%), moderate (64%), or severe (14%). A total of 1,879 patients underwent curettage; 70% were cured after one treatment and 26% after two treatments. Satisfaction was high: 97% of children and parents.
Active treatment should be offered despite the fact that MC is self-limiting. Curettage in an appropriate setting is very effective, with high patient satisfaction and fast cure rates.
背景/目的：传染性软疣（MC）是一种主要影响儿童的常见病毒性疾病。目的是比较刮除术作为MC治疗方式与不治疗的效果。
我们对2008年至2012年间2022例患MC的儿童进行了一项回顾性研究。对流行病学、临床和治疗数据，包括有效性、安全性和满意度进行了评估。
56%的儿童年龄在2至5岁。51%的儿童感染持续时间为1至2年，32%的儿童感染持续时间不到1年，17%的儿童感染持续时间超过2年。70%的儿童是自行前来就诊；86%的儿童曾接受过检查，其中76%的儿童曾被建议不治疗感染。病情为轻度（22%）、中度（64%）或重度（14%）。共有1879例患者接受了刮除术；70%的患者一次治疗后治愈，26%的患者两次治疗后治愈。满意度很高：儿童和家长的满意度为97%。
尽管MC是自限性疾病，但仍应提供积极治疗。在适当的情况下进行刮除术非常有效，患者满意度高且治愈率快。
