Discussion: Dermatoscopy is a useful tool for the diagnosis of molluscum. The presence of the white globules (which represent the molluscum bodies) is a pathognomonic sign. In this large lesion, multiple molluscum bodies are the tip-off to the diagnosis.
Cliff Rosendahl writes: “This is a non-pigmented lesion, circular in shape with a sharply demarcated border over the total periphery. Centrally there are white clods and white structureless areas on a pink background with serpentine vessels. In ‘Dermatoscopy’ page 236 the characterisation is “White to yellow clods or structureless zone and curved vessels at the periphery which do not cross the centre” so this example is a variation of that description.”