1125 A Case of Generalized Molluscum Contagiosum in an Adult Patient with Severe Atopic Dermatitis

Wednesday, 14 October 2015
Hall D1 Foyer (Floor 3) (Coex Convention Center)

Minkee Park, MD , Department of Dermatology, Dankook University College of Medicine, Cheonan, South Korea

Misoo Choi, MD , Department of Dermatology, Dankook University College of Medicine, Cheonan, South Korea

Chanhee Nam , Department of Dermatology, Dankook University College of Medicine, South Korea

Ji Seok Kim , Department of Dermatology, Dankook University College of Medicine, South Korea

Byung Cheol Park , Department of Dermatology, Dankook University College of Medicine, South Korea

Myunghwa Kim , Department of Dermatology, Dankook University College of Medicine, South Korea

Seung-Phil Hong, MD , Department of Dermatology, Dankook University College of Medicine, Cheonan, South Korea

Most cutaneous molluscum contagiosum (MC) infection occurs in children, but it may be found in adults, especially who have been infected with human immunodeficiency virus (HIV).

 A 37-year-old man presented with multiple pea-sized firm skin-colored round papules, which first appeared on the arms and then quickly spread over whole body for last 2 months. He has been treated for severe atopic dermatitis with systemic immunosuppressive therapies for 2 years. Screening test for HIV was negative. The lesions were diagnosed as MC based on histopathologic findings of typical eosinophilic cytoplasmic molluscum inclusion bodies on the acanthotic epidermis as well as dermal inclusion cyst.

 This is a very unusual case because widespread MC infection in adults was reported in some HIV positive patients. We supposed that our patient’s disseminated infection may be related with the combination of perturbed skin barrier and systemic immunosuppressive therapy under severe atopic condition.