Molluscum Contagiosum: Why Super Glue Is Dangerous and What Works
Do not use super glue (cyanoacrylate) on molluscum contagiosum. It causes:
- Contact dermatitis / chemical burn
- Trapping virus under sealed skin → larger lesions
- Scarring, pigment changes
- Delayed proper treatment
What Is Molluscum?
- Benign viral infection (molluscum contagiosum virus, poxvirus family).
- Pearl-like, umbilicated papules (2–5 mm) on trunk, limbs, face.
- Spread: Skin-to-skin, fomites (towels, toys), autoinoculation (scratching).
- Common in children 1–10 yr; sexually transmitted in adults.
Evidence-Based Management
- Observation: Self-resolves in 6–18 months (immune clearance). No treatment needed if few, asymptomatic.
- Physical removal (by clinician):
- Curettage (sharp spoon)
- Cryotherapy (liquid nitrogen)
- Cantharidin 0.7% (blistering agent — "beetle juice")
- Pulsed dye laser
- Topical (home use, slower):
- Imiquimod 5% cream (immune modulator)
- Tretinoin 0.025–0.05% cream
- Potassium hydroxide 5–10%
Prevention of Spread
- Cover lesions (clothing, watertight bandages for swimming).
- No sharing towels, razors, bath sponges.
- Good hand hygiene; discourage picking.
When to See a Dermatologist
- Numerous lesions (>20), facial/eyelid involvement
- Immunocompromised (HIV, chemo, steroids) — can be extensive, refractory
- Diagnostic uncertainty
- Scarring concern
Super glue is for hardware—not skin. See a board-certified dermatologist for safe, effective options.
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