Can you get molluscum contagiosum on the lips?

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Last updated: June 12, 2025View editorial policy

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From the Research

Yes, molluscum contagiosum can appear on the lips, though it's less common than on other parts of the body. Molluscum contagiosum is a viral skin infection that causes small, flesh-colored or pink bumps with a central dimple. When it affects the lips, it can be mistaken for cold sores or pimples. The virus spreads through direct skin contact, shared items, or sexual contact.

Key Considerations

  • The infection often resolves on its own within 6-12 months, but treatment may be preferred for social and cosmetic reasons or to avoid spreading the infection.
  • Treatment options include watchful waiting, physical removal methods like cryotherapy, curettage, or topical medications such as podophyllotoxin, imiquimod, or cantharidin applied directly to the lesions.
  • These treatments should be performed by a healthcare provider, especially for sensitive areas like the lips.
  • It's essential to avoid touching or scratching the bumps to prevent spreading the infection to other parts of your body or to other people.
  • The virus lives in the skin cells of the bumps, so once all bumps are gone, the infection is considered cleared.

Treatment Options

  • According to a study published in 2017 1, there is no single intervention that has been shown to be convincingly effective in the treatment of molluscum contagiosum.
  • The study found moderate-quality evidence that topical 5% imiquimod was no more effective than vehicle in terms of clinical cure, but led to more application site reactions.
  • Another study published in 2010 2 compared the efficacy, safety, and acceptability of imiquimod 5% cream versus cryotherapy for molluscum contagiosum in children and found that imiquimod 5% cream seems to be slow acting but an effective agent for the treatment of MC in children.

Recommendations

  • Treatment should be individualized based on the patient's age, immune status, and the location and number of lesions.
  • Healthcare providers should consider the potential benefits and risks of each treatment option and discuss them with the patient.
  • Patients should be advised to avoid touching or scratching the bumps and to practice good hygiene to prevent spreading the infection.
  • Further research is needed to standardize treatment for molluscum infection based on patient age and immune status, as noted in a review published in 2014 3.

Professional Medical Disclaimer

This information is intended for healthcare professionals. Any medical decision-making should rely on clinical judgment and independently verified information. The content provided herein does not replace professional discretion and should be considered supplementary to established clinical guidelines. Healthcare providers should verify all information against primary literature and current practice standards before application in patient care. Dr.Oracle assumes no liability for clinical decisions based on this content.

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