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A Journal on Dermatology
Esperienze Dermatologiche 2015 March;17(1):17-8
A painful papule of the sole: molluscum contagiosum
Savoia F. 1, Gaddoni G. 1, Patrizi A. 2, Giacomini F. 2, Zago S. 3, Cardinale L. 3, Tabanelli M. 1
1 Dermatology Unit, AUSL Romagna, Ravenna, Italy;
2 Department of Internal Medicine, Geriatrics and Nephrology, Division of Dermatology, University of Bologna, Bologna, Italy;
3 Unit of Pathologic Anatomy, AUSL Romagna, Ravenna, Italy
Atypical cases of molluscum contagiosum may occur regarding both the clinical features and the localization. We report the case of a molluscum contagiosum in an atypical site, the sole, that presented peculiar dermoscopic features different from that reported in other cutaneous sites. Dermoscopy, performed with FotoFinder Dermoscope, 40X, showed pink-red oval structures surrounded by a white-yellow halo. Vessels were not evident. The differences with the features reported in other cutaneous sites may be explained by the peculiar localization of molluscum contagiosum on the sole, an area where also pigmented lesions have peculiar dermoscopic patterns.
Histopathology still remains the gold standard for a correct diagnosis in atypical cases of molluscum contagiosum.