How effective is cryotherapy for treating molluscum contagiosum?

Doctor's Answer

Cryotherapy is an effective treatment option for molluscum contagiosum. Molluscum contagiosum is an infection caused by the molluscum contagiosum virus. It presents with skin-coloured or whitish bumps on the skin. This is infectious and can spread to other nearby sites by scratching and rubbing, which can lead to auto-inoculation of the virus. It can spread to other people by skin-to-skin contact.

Cryotherapy involves destroying the virus by 'freezing' it, often with a liquid nitrogen spray. This leads to a localised frostbite injury and can lead to a blister and crust formation. The molluscum virus can be effectively treated by cryotherapy. Side effects of cryotherapy include:

  • pain at the site of application,
  • blister formation,
  • risk of infection and
  • post-inflammatory hypopigmentation or hyperpigmentation.

Molluscum contagiosum can be treated by other means. Personally, I find pricking the molluscum and expressing the contents is a good treatment option. I find that this treatment heals faster than cryotherapy and tends to leave less post-inflammatory hypopigmentation or hyperpigmentation. I prefer using this for more cosmetically sensitive sites like the face.

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