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Case Report

Utility of Tzanck Smear in Rapid Diagnosis of Molluscum Contagiosum: A Case Report

Poongodi Rajagopal, Arundhathi Shankaralingappa, Josephain Kanakapudi

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Indian Journal of Pathology: Research and Practice 14(1):p 27-29, Jan -April 2025. | DOI: https://doi.org/10.21088/ijprp.2278.148X.14125.4

How Cite This Article:

Arundhathi. Shankaralingappa, Josephain Kanakapudi, Poongodi Rajagopal, Utility of Tzanck Smear in Rapid Diagnosis of Molluscum Contagiosum: A Case Report. Ind Jr of Path: Res and Practice 2025;14(1) 27-29.

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Received : February 15, 2025         Accepted : March 21, 2025          Published : April 30, 2025

Abstract

Molluscum contagiosum (MC) is a self-limiting cutaneous viral disease caused by a double stranded DNA virus belonging to pox viridae family. The lesions are highly contagious and present as elevated pearl like papules with characteristic central umbilication. It can affect children, sexually active adults and immunocompromised individual.1 It is classically a clinical diagnosis and does not pose difficulty in diagnosis unless the presentation is atypical. Thus, the cytological features of MC are rarely described and reported, more so with Tzanck smear.1 We are presenting a case of MC in a 27- year- old male which was diagnosed on Tzanck smear. We are presenting this case to emphasize on rapid diagnosis of MC using Tzanck smear. KEY MESSAGES: Molluscum contagiosum (MC) is generally diagnosed based on clinical presentation, though atypical cases can mimic other papular lesions. Given its contagious nature, early detection is crucial. In such cases, a simple Tzanck smear can confirm the diagnosis by identifying characteristic molluscum bodies. This report underscores the seldomdiscussed cytological features of MC, highlighting the smear’s utility for swift diagnosis, aiding in infection control, lesion reduction, and timely treatment.


References

  • 1.   Ahmad N, Khan S, Jetley S. Molluscum contagiosum: Rapid cytological diagnosis using Tzanck smear in a case with unusual presentation. Natl J Lab Med. 2017;6:17-19.
  • 2.   Rayala BZ, Morrell DS. Common Skin Conditions in Children: Skin Infections. FP Essent. 2017; 453:26-32.
  • 3.   Eryılmaz A, Durdu M, Baba M, Yıldırım FE. Diagnostic reliability of the Tzanck smear in dermatologic diseases. Int J Dermatol. 2014;53:178-86.
  • 4.   Shruthi HN, Kumarguru BN, Ramaswamy AS, Shivakumar V. Role of Tzanck Smear Cytology in Dermatology: A Clinicopathological Study. J Clin Diagn Res. 2022;16:13-17
  • 5.   Gupta LK, Singhi MK. Tzanck smear: a useful diagnostic tool. Indian J Dermatol Venereol Leprol. 2005;71:295-9.

Data Sharing Statement

There are no additional data available. All raw data and code are available upon request.

Funding

This research received no funding.

Author Contributions

All authors contributed significantly to the work and approve its publication.

Ethics Declaration

This article does not involve any human or animal subjects, and therefore does not require ethics approval.

Acknowledgements

We would like to express our gratitude to the patients, their families, and all those who have contributed to this study.

Conflicts of Interest

No conflicts of interest in this work.


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Cite this article

Arundhathi. Shankaralingappa, Josephain Kanakapudi, Poongodi Rajagopal, Utility of Tzanck Smear in Rapid Diagnosis of Molluscum Contagiosum: A Case Report. Ind Jr of Path: Res and Practice 2025;14(1) 27-29.


Licence:

Attribution-Non-commercial 4.0 International (CC BY-NC 4.0)

This license enables reusers to distribute, remix, adapt, and build upon the material in any medium or format for noncommercial purposes only, and only so long as attribution is given to the creator.


Received Accepted Published
February 15, 2025 March 21, 2025 April 30, 2025

DOI: https://doi.org/10.21088/ijprp.2278.148X.14125.4

Keywords

Molluscum contagiosumTzanck smearPearly papules

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Received February 15, 2025
Accepted March 21, 2025
Published April 30, 2025

licence


Attribution-Non-commercial 4.0 International (CC BY-NC 4.0)

This license enables reusers to distribute, remix, adapt, and build upon the material in any medium or format for noncommercial purposes only, and only so long as attribution is given to the creator.


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