NR 602 Week 3 Molluscum contagiosum DDx

NR 602 Week 3 Molluscum contagiosum DDx

NR 602 Week 3 Molluscum contagiosum DDx

Thank you for your clinical case presentation.

Differential Diagnosis #1:

Molluscum contagiosum is the primary diagnosis I selected for this clinical case study. Molluscum contagiosum is a highly contagious viral skin infection caused by a poxvirus, and most commonly affects children 2 to 11 years of age. (Allmon, Deane, & Martin, 2015). The poxvirus attacks skin and mucus membranes and is spread by direct contact, by objects or materials which are likely to carry infection (clothes, furniture), or by scratching (Burns, Dunn, Brady, Starr, & Blosser, 2016). …

Molluscum contagiosum is a self-limiting condition with untreated lesions usually resolving within 6 months to 2 years, but may take up to 4 years to resolve completely (Allmon et al., 2015; Burns et al., 2016). According to Burns et al. (2015), there is no specific evidence-based …

Differential Diagnosis #2:

Common warts (verruca vulgaris) occur most often in children and young adults, affecting more women than men (Hollier, 2018). Common warts are usually elevated flesh-colored single papules with scaly, …

The pertinent positives identified are that both conditions can occur in children and appear as flesh-colored papules. The pertinent negatives include the following: multiple pruritic papules with umbilicated centers, shiny and waxy surfaces; and papules are located on the anterior surface of bilateral forearms and knees. The pertinent negatives definitely outnumber the pertinent positives; therefore, allowing the diagnosis of common warts to be eliminated.

 

Differential Diagnosis #3:

Common in all age groups, folliculitis is a superficial infection or irritation of the hair follicles; most often caused by Staphylococcus aureus, methicillin-resistant Staphylococcus aureus (MRSA) or …

The only pertinent positive finding suggestive of folliculitis is a pruritic lesion. The pertinent negatives include: multiple, pink, flesh-colored papules with an umbilicated center, and a surface that is shiny and waxy; located on the anterior surface of bilateral forearms and knees. Folliculitis is least likely to be the primary diagnosis for this individual case study because of the lack of pertinent positive findings.

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References

Allmon, A., Deane, K., & Martin, K. (2015). Common skin rashes in children. American Family Physician, 92(3), 211-216. Retrieved from https://chamberlain-on-worldcat-org.chamberlainuniversity.idm.oclc.org/oclc/5870623398

Burns, C.E., Dunn, A.M., Brady, M.A., Starr, N. B. & Blosser, C.G. (2016). Pediatric Primary Care (6^th ed.). St. Louis, Missouri: Saunders Elsevier

Hollier, A. (2018). Clinical guidelines in primary care (3rd ed.). Lafayette, LA: Advanced Practice Education Associates.

NB. This is an Incomplete Sample.