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The answer is B, molluscum-associated dermatitis. The patient's presentation is consistent with molluscum contagiosum caused by the molluscipox virus. These small, pearly, dome-shaped papules with central umbilication tend to favour intertriginous areas, although the lesions may appear anywhere on the body. Occasionally, infection with molluscum contagiosum may result in an associated dermatitis thought to be secondary to a delayed hypersensitivity reaction to the virus.1 While the dermatitis may commonly be mistaken for atopic dermatitis, the specific onset of dermatitis confined to the site of the molluscum favours the diagnosis of molluscum-associated dermatitis. Although molluscum is …
Competing interests None.
Provenance and peer review Commissioned; externally peer reviewed.
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