Should molluscum contagiosum in children be treated?

Molluscum contagiosum is a common viral infection in children characterized by small, painless, raised lesions. In most cases, treatment is not necessary because the condition is self-limiting; the lesions often resolve on their own within six to twelve months, and children are generally healthy despite the presence of the virus.

Choosing to only treat in the case of infection is reasonable as it aligns with the understanding that most cases do not require intervention unless complications arise. Infection could lead to further complications or discomfort, and in that scenario, addressing the infection through treatment would be appropriate. For many children, the lesions do not cause significant distress, which is a crucial factor in determining the need for treatment.

In summary, the approach of treating only when there is an infection reflects a prudent and evidence-based practice that minimizes unnecessary interventions while allowing for watchful waiting in otherwise healthy children.