Mięczak zakaźny – jak go rozpoznać?
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Mięczak zakaźny – jak go rozpoznać?

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Mięczak zakaźny to choroba dermatologiczna, do której dochodzi na skutek zakażenia wirusem mięczaka zakaźnego (molluscum contagiosum virus – MCV). Jej objawem są małe, półprzezroczyste grudki bądź guzki, o charakterystycznym perłowym kolorze. Cechą, która wyróżnia zmiany przy mięczaku zakaźnym jest zagłębienie w ich centralnej części.

Niekiedy grudkom/ guzkom może towarzyszyć świąd bądź minimalna tkliwość. Zmiany skórne przy tej chorobie mogą wylęgać się w ciągu od tygodnia do nawet sześciu miesięcy. Najczęściej są widoczne już po 2-3 miesiącach.

Początkowo pęcherzyki są niewielkie, wielkości główki szpilki. Ich rozmiar zmienia się z czasem. Kilka tygodni później mierzą zazwyczaj ok. 3-5 mm, a niekiedy już 1-2 cm. U pacjentów, którzy nie podjęli leczenia wykwitów, mogą się one utrzymywać nawet ok. 2-4 miesiące.

Grudki te mogą wystąpić w okolicach narządów płciowych

Na wystąpienie wykwitów w okolicach narządów płciowych narażone są głównie osoby dorosłe. U mężczyzn najczęściej lokalizują się na skórze członka, natomiast u kobiet na wzgórku łonowym, owłosionej części warg sromowych, a także wewnętrznej i górnej powierzchni ud.

Niezależnie od płci, grudki bądź guzki wywołane wirusem mięczaka zakaźnego mogą pojawić się również na pośladkach, w szparze pośladkowej oraz w pachwinach. Wirus ten przenosi się zarówno drogą kontaktów płciowych, jak również podczas bezpośredniego kontaktu skóra do skóry z osobą zakażoną mięczakiem zakaźnym. Ponadto do zarażenia może również dojść na skutek korzystania ze wspólnych przedmiotów, takich jak m.in. odzież.

Mięczak zakaźny u 20 proc. osób z HIV

Szczególnie narażeni na zakażenie MCV są osoby o obniżonej odporności. Według szacunków zakażonych tym wirusem jest co najmniej 20% osób zakażonych wirusem HIV. W porównaniu z osobami chorymi na AIDS, u osób o niezaburzonej odporności pojawia się podczas zakażenia mięczakiem kilka lub kilkanaście zmian, natomiast u grupy osób z AIDS może wystąpić nawet kilkaset grudek.

Aby potwierdzić zakażenie wirusem mięczaka zakaźnego niezbędne będą badania histopatologiczne, cytologiczne bądź badanie metodą immunofluorescencyjną. Mięczaka zakaźnego i wykwit mu towarzyszący leczy się za pomocą krioterapii, elektrokoagulacji, łyżeczkowania bądź usunięcia laserowego.

Źródło: mp.pl

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2 981 thoughts on “Mięczak zakaźny – jak go rozpoznać?

  1. Bardzo dobry artykuł. Moja córka także zaraziła się mięczakiem zakaźnym w szkole. Początkowo próbowaliśmy różnych specyfików, ale niestety nie przynosiły żadnych rezultatów. Po kilku tygodniach poszukiwań trafiłam do dermatologa dziecięcego, który polecił mi preparat Mollusan MED. Kupiłam go na stronie http://www.mollusan.pl. Preparat szybko zadziałał, zmiany znikały i po kilku tygodniach było po problemie.

  2. Mojej 2 letniej córce zaczęło się od dwóch kropek… Po kilku miesiącach pojawiły się 4 kolejne… Później połowa brzucha w kropkach.. Dermatolog przepisała solphadermol. Niestety nie pomagało… Kupiłam w aptece PoxClin BodyMousse na mięczaka zakaźnego i to sprawiło że grudki zaczęły znikać.

  3. Czesc właśnie jestem 3 dzień zarażony mam 27 lat wysypany jestem od pasa po sam czubek głowy wygladam okropienie,pojawiała sie goraczka 37,36 później 37,8-36 wszytko w jednej dzień później gdzies kolo 17 godziny 38,4 i znów 36 po 40 min spadla az kolo 22 pojawiła sie 39,5 i do szpitala 2 raz pojechałem 3 lekarzy od piątku 1 lekarz rodzinny ze to meczniak zakaźny 2 lekatz w juz szpitalu powiedział ze pokrzywka a o 23 jak bylem juz na pogotowiu to znow ze meczniak tak ze jest tragedia a dopiero 3 dzień :(czekam do jutra do dermatolog 🙁

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