Genital Lesions: Molluscum Contagiosum and Warts

An individual was seen in the Primary Care clinic for evaluation of genital lesions. On examination, it was determined the patient was affected by both molluscum contagiosum and genital warts, both types of lesions caused by viruses that are transmitted by skin-to-skin contact. Contraction of the molluscum contagiosum virus causes pearly skin-colored or white papules. Genital warts are caused by the human papillomavirus and may be flat, smooth, papular, verrucous, or cauliflower-like in appearance. There is considerable overlap in the treatment of genital warts and molluscum contagiosum. There are topical therapies available; however, cryosurgery with liquid nitrogen or removal by curettage is recommended, as they are faster and more definitive approaches (or immediate in the case of curettage).