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LETTER TO EDITOR
Year : 2001  |  Volume : 67  |  Issue : 2  |  Page : 106

Efficacy of emlap cream in children having molluscum contagiosum


Department of Dermato-Venereology, Govt. Medical College and Rajindra Hospital, Patiala-147001, India

Correspondence Address:
Department of Dermato-Venereology, Govt. Medical College and Rajindra Hospital, Patiala-147001, India



How to cite this article:
Mittal R R, Jha A. Efficacy of emlap cream in children having molluscum contagiosum. Indian J Dermatol Venereol Leprol 2001;67:106


How to cite this URL:
Mittal R R, Jha A. Efficacy of emlap cream in children having molluscum contagiosum. Indian J Dermatol Venereol Leprol [serial online] 2001 [cited 2019 Jun 24];67:106. Available from: http://www.ijdvl.com/text.asp?2001/67/2/106/11122


To the Editor
Molluscum contagiosum (MC) is seen as umbilicated, 3-5 mm, pearly white to skin -coloured, shiny papules caused by pox virus MCV-1 and MCV -2 and are not uncommon in children.[1] Usually MC lesions are treated with curettage followed by chemical cautery or cryotherapy. Chemical cautery is more suitable for children than cryotherapy but some sedation is needed in children even for cautery as they are apprehensive and more so if MC lesions are multiple. EMLAP cream containing lidocaine 2.5% and prilocaine 2.5% was recommended as an effective topical analgesic instead of systemic sedation in children.[2]
The present study was undertaken to evaluate topical EM LAP cream in 30 children in age group of 2-10 years suffering from multiple MC lesions. EMLAP cream was applied over group of MC lesions in localized area and covered with occlusive dressing provided with the cream for one hour. On discrete and distant lesions EMLAP cream alone, i.e without occlusion was applied. After one hour, the cream was removed and area cleaned with betadine lotion.
Curettage of all MC lesions were done with injection needle followed by cautery with 10% trichloroacetic acid (TCA). Apprehension of children disappeared as procedure was painless and curettage plus cautery could be done with ease. None of the patients suffered from sensitization or other adverse effect after EMLAP application.
Topical EMLAP cream gave reasonably good analgesia and no adverse effects. Thus it is a good and safe topical local anaesthetic for cautery especially in grouped MC lesions in children. 

   References Top

1.Sterling JC, Kurtz JB. Viral infections. In: Rook, Wilkinson, Ebling Textbook of Dermatology. Champion RH, Burton JL, Burns DA, Breathnach SM (eds), Blackwell Scientific Publication 6th ed. 1998;vol 2: 1005-1008.  Back to cited text no. 1    
2.Rosdahl I, Edmar B, Gisslen H, et al. Curettage of molluscum contagiosum in children:analgesia by topical application of a lidocaine/ prilocaine cream (EMLA). Acta Derm Venereol (Stockh) 1988;68:149:153.  Back to cited text no. 2    

 

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