Molluscum contagiosum lesions are best described as:

• A. Pustules with pus
• B. Waxy papules with a central pit
• C. Vesicular blisters
• D. Fish-scale plaques

Answer: (B)

Molluscum contagiosum produces small, flesh-colored to pearly dome-shaped papules that have a central umbilication—that tiny central pit is the characteristic feature. This central indentation distinguishes the lesions from pus-filled pustules, fluid-filled vesicles, or scaly plaques seen in other conditions, making the description of waxy papules with a central pit the best way to recognize them. The nodules can contain a cheesy material inside that can be expressed if pressed. In contrast, pustules with pus suggest bacterial infection, vesicular blisters point to conditions like herpes or varicella, and fish-scale plaques are more typical of fungal or ichthyotic processes.