Giant solitary molluscum contagiosum in an immunocompetent girl: report of the first case in Managua, Nicaragua
DOI:
https://doi.org/10.62407/1nfmh611Keywords:
Molluscum contagiosum, giant lesion, excisional biopsy, immunocompetent childAbstract
Molluscum contagiosum is a benign viral infection typically characterized by multiple small, self-limited papules. We report an atypical case of molluscum contagiosum presenting as a solitary giant lesion measuring 1.2 cm on the leg of an immunocompetent child. Due to the lack of dermoscopy in our clinic, a complete excisional biopsy was performed. Closure was achieved with simple nylon 4-0 sutures. Histopathological examination confirmed the diagnosis. This case underscores the importance of considering uncommon clinical variants of molluscum contagiosum and demonstrates how an appropriate surgical technique can provide an effective diagnostic and therapeutic approach when complementary resources are unavailable. The successful outpatient surgical management indicates that excision is a safe and effective option for solitary giant lesions, especially in atypical presentations with diagnostic uncertainty, preventing misdiagnoses.
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