Molluscum Contagiosum—Child Care and Schools

What is molluscum contagiosum?

A skin disease caused by a virus, somewhat similar to warts

What are the signs or symptoms?

Small, flesh-colored bumps on the skin, often with a tiny, hard, indented, seedlike center

What are the incubation and contagious periods?

  • Incubation period: Usually between 2 and 7 weeks but may be as long as 6 months

  • Contagious period: Unknown

How is it spread?

  • Person to person through close contact

  • Through sharing of inanimate objects, such as dress-up clothing, or direct contact

How do you control it?

  • Perform hand hygiene after touching the bumps.

  • Do not share clothing or other skin contact articles.

  • Do not scratch the bumps because that may cause further spread of the virus to another site (autoinoculation).

  • Usually goes away on its own in 6 to 12 months as the person develops antibodies to the virus; however, may last for years.

  • In some cases, treatments may be used to destroy the bumps. However, the treatments may involve painful scraping, freezing, burning, or chemically damaging the bumps. These treatments may cause scars.

  • Cover the lesions where possible with clothing or a watertight bandage when close skin-to-skin contact or water activities involve skin where the bumps are present.

  • Although molluscum contagiosum bumps represent a viral infection, they are very mildly contagious and most often are spread to other areas of the affected child’s body rather than to other children.

What are the roles of the teacher/caregiver and the family?

  • Perform hand hygiene after touching the bumps.

  • Do not let children pick at their bumps because this may cause an opening in the skin, which promotes bacterial infection or further spread of the viral infection.

Exclude from group setting?

No.

Comment

To prevent spread, try to address skin disruption from scratching. Fingernails should be kept short. To reduce scratching at school or at home, use cold compresses (a small plastic bag of ice wrapped in a towel).

Adapted from Managing Infectious Diseases in Child Care and Schools: A Quick Reference Guide .

Any websites, brand names, products, or manufacturers are mentioned for informational and identification purposes only and do not imply an endorsement by the American Academy of Pediatrics (AAP). The AAP is not responsible for the content of external resources. Information was current at the time of publication.

The information contained in this publication should not be used as a substitute for the medical care and advice of your pediatrician. There may be variations in treatment that your pediatrician may recommend based on individual facts and circumstances.

Copyright © American Academy of Pediatrics Date Updated: Apr 02 2025 23:15 Version 0.1

Powered by RemedyConnect. Please read our disclaimer.

< Back to all medical conditions articles

Customize from Medical Conditions Article v0.1 9/9/2025

Is Your Child Sick?®

latest news

starfish
February 12, 2026
There have been cases of measles in NC, with exposures in Chapel Hill, Durham, and Wake County. We can give the MMR dose early to families who want it. This applies to infants 6-12 months who have not gotten a dose yet or kids under 4-5 years who have not gotten their second MMR dose. At this time, the NC DHHS and health departments are not recommending this unless traveling or living in an area with sustained transmission. Two doses of the MMR vaccine are highly effective (97%) at preventing measles infections. At CHCAC, children receive their first dose at 12 months of age and a second dose at 4 years of age, ensuring they are fully protected as soon as possible, in accordance with the most up-to-date AAP recommendations. Some infants aged 6 months to 11 months who travel internationally or in high-prevalence areas may need a dose to protect them; however, they still require the 1-year and 4-year-old doses as well. If you are ever concerned about a possible exposure to measles, please CALL before entering our office. DO NOT ENTER the office. NC DHHS keeps a list of areas with measles exposures here . This is a highly contagious illness, and special precautions must be taken to prevent spread. The virus can be present in the air for 2 hours after an infected person is in the room, and 90% of susceptible patients can be infected. As always, if you have questions, we are here to help make sense of it all!