Skin & Rashes

Molluscum Contagiosum on My Baby's Skin

Content reviewed against published AAP, CDC, AAD guidelines

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Baby skin is sensitive and changes frequently. If you are noticing molluscum contagiosum on my baby's skin, here is what you need to know.

The short answer

Molluscum contagiosum is a common, harmless viral skin infection that causes small, firm, dome-shaped bumps with a characteristic dimple (umbilication) in the center. It is caused by a poxvirus and is very common in children aged 1-10 years. The bumps are painless and usually resolve on their own within 6-18 months without treatment, though they can persist for up to 4 years. The virus is contagious through direct skin contact and shared items.

Key takeaways

  • Molluscum contagiosum is a common, harmless viral skin infection that causes small, firm, dome-shaped bumps with a characteristic dimple (umbilication) in the center. It is caused by a poxvirus and is very common in children aged 1-10 years. The bumps are painless and usually resolve on their own within 6-18 months without treatment, though they can persist for up to 4 years. The virus is contagious through direct skin contact and shared items.
  • Usually normal when: Your child has a few small, painless bumps with central dimples that are not growing rapidly or causing distress.
  • Call your doctor if: The bumps become very red, warm, painful, and develop pus — this may indicate a secondary bacterial infection requiring antibiotics.
  • Varies by age — see the age-by-age breakdown below
Eczema is very common in babies and children. About 1 in 10 children will develop eczema, typically starting in the first few months of life.
Eczema in Babies and Children, American Academy of Pediatrics (AAP)

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By Age

What to expect by age

0-12 months

Molluscum contagiosum is less common in babies under 12 months but can occur, especially if they have older siblings with the infection. The bumps are typically 2-5 mm in diameter, skin-colored or pearly white, and have a small dent in the center. They can appear anywhere on the body but are common on the trunk, arms, and legs. In infants, the infection is usually acquired through skin-to-skin contact with an infected family member. Treatment is generally not recommended for infants because the bumps are harmless and treatments can be painful. Keep the affected areas clean and avoid picking at bumps.

12-24 months

Toddlers in daycare may contract molluscum from other children. The bumps can spread on your child's own body through scratching (autoinoculation), so keep nails trimmed short. The surrounding skin may become red or irritated, especially if your child has eczema (eczema can worsen around molluscum bumps — a condition called "molluscum dermatitis"). Do not share towels, bath items, or clothing with the affected child. Covering bumps with clothing or bandages can reduce spread. Most pediatricians recommend watchful waiting rather than active treatment.

2-3 years

Molluscum may spread or persist during this age. When bumps are about to resolve naturally, they may become red, swollen, and slightly tender — this is actually a good sign called the "BOTE" (Beginning of the End) reaction, meaning the immune system is fighting the virus. If treatment is desired (for extensive spread or cosmetic concerns), options include topical treatments (cantharidin applied in-office, tretinoin cream), cryotherapy (freezing), or curettage (scraping). These treatments can be uncomfortable and should be weighed against the option of waiting for natural resolution. Consult your dermatologist or pediatrician about the best approach.

What Should You Do?

When to take action

Probably normal when...
  • Your child has a few small, painless bumps with central dimples that are not growing rapidly or causing distress.
  • The bumps have been present for weeks to months and are slowly increasing in number — molluscum often spreads before resolving.
  • A bump becomes red and slightly tender before flattening — this is often a sign that it is about to resolve.
Mention at your next visit when...
  • The bumps are spreading rapidly or you have questions about treatment options.
  • The skin around the bumps is very red, itchy, or eczematous.
  • You want to discuss whether treatment is appropriate for your child or if watchful waiting is preferred.
Act now when...
  • The bumps become very red, warm, painful, and develop pus — this may indicate a secondary bacterial infection requiring antibiotics.
  • Bumps appear on or very close to your baby's eyes, which could affect vision — see your pediatrician or an ophthalmologist.
  • Your child has a widespread eruption of molluscum combined with high fever or seems systemically unwell — this is unusual and warrants medical evaluation.

Doctor Visit Checklist

Bring this checklist to your next pediatrician visit to discuss Molluscum Contagiosum on My Baby's Skin.

Things to mention

  • The bumps are spreading rapidly or you have questions about treatment options.
  • The skin around the bumps is very red, itchy, or eczematous.
  • You want to discuss whether treatment is appropriate for your child or if watchful waiting is preferred.

Observations to share

  • The bumps are spreading rapidly or you have questions about treatment options.
  • The skin around the bumps is very red, itchy, or eczematous.
  • You want to discuss whether treatment is appropriate for your child or if watchful waiting is preferred.

Urgent signs to report immediately

  • The bumps become very red, warm, painful, and develop pus — this may indicate a secondary bacterial infection requiring antibiotics.
  • Bumps appear on or very close to your baby's eyes, which could affect vision — see your pediatrician or an ophthalmologist.
  • Your child has a widespread eruption of molluscum combined with high fever or seems systemically unwell — this is unusual and warrants medical evaluation.

My notes

From ismybabyalright.com — free, evidence-based baby health guides

Frequently asked questions

Is molluscum contagiosum on my baby's skin normal?
Molluscum contagiosum is a common, harmless viral skin infection that causes small, firm, dome-shaped bumps with a characteristic dimple (umbilication) in the center. It is caused by a poxvirus and is very common in children aged 1-10 years. The bumps are painless and usually resolve on their own within 6-18 months without treatment, though they can persist for up to 4 years. The virus is contagious through direct skin contact and shared items.
When should I call the doctor about molluscum contagiosum on my baby's skin?
The bumps become very red, warm, painful, and develop pus — this may indicate a secondary bacterial infection requiring antibiotics. Bumps appear on or very close to your baby's eyes, which could affect vision — see your pediatrician or an ophthalmologist. Your child has a widespread eruption of molluscum combined with high fever or seems systemically unwell — this is unusual and warrants medical evaluation.
When is molluscum contagiosum on my baby's skin normal?
Your child has a few small, painless bumps with central dimples that are not growing rapidly or causing distress. The bumps have been present for weeks to months and are slowly increasing in number — molluscum often spreads before resolving. A bump becomes red and slightly tender before flattening — this is often a sign that it is about to resolve.
What causes molluscum contagiosum on my baby's skin?
Molluscum contagiosum is a common, harmless viral skin infection that causes small, firm, dome-shaped bumps with a characteristic dimple (umbilication) in the center. It is caused by a poxvirus and is very common in children aged 1-10 years. The bumps are painless and usually resolve on their own within 6-18 months without treatment, though they can persist for up to 4 years. The virus is contagious through direct skin contact and shared items. Common explanations include: Your child has a few small, painless bumps with central dimples that are not growing rapidly or causing distress.. The bumps have been present for weeks to months and are slowly increasing in number — molluscum often spreads before resolving..
What should I mention to my pediatrician about molluscum contagiosum on my baby's skin?
You should mention molluscum contagiosum on my baby's skin at your next visit if: The bumps are spreading rapidly or you have questions about treatment options.. The skin around the bumps is very red, itchy, or eczematous.. You want to discuss whether treatment is appropriate for your child or if watchful waiting is preferred..
Is molluscum contagiosum on my baby's skin normal at 0-12 months?
Molluscum contagiosum is less common in babies under 12 months but can occur, especially if they have older siblings with the infection. The bumps are typically 2-5 mm in diameter, skin-colored or pearly white, and have a small dent in the center. They can appear anywhere on the body but are common on the trunk, arms, and legs. In infants, the infection is usually acquired through skin-to-skin contact with an infected family member. Treatment is generally not recommended for infants because the bumps are harmless and treatments can be painful. Keep the affected areas clean and avoid picking at bumps.
Is molluscum contagiosum on my baby's skin normal at 12-24 months?
Toddlers in daycare may contract molluscum from other children. The bumps can spread on your child's own body through scratching (autoinoculation), so keep nails trimmed short. The surrounding skin may become red or irritated, especially if your child has eczema (eczema can worsen around molluscum bumps — a condition called "molluscum dermatitis"). Do not share towels, bath items, or clothing with the affected child. Covering bumps with clothing or bandages can reduce spread. Most pediatricians recommend watchful waiting rather than active treatment.
Should I go to the ER for molluscum contagiosum on my baby's skin?
Seek emergency care if the bumps become very red, warm, painful, and develop pus — this may indicate a secondary bacterial infection requiring antibiotics, or if bumps appear on or very close to your baby's eyes, which could affect vision — see your pediatrician or an ophthalmologist. When in doubt, call your pediatrician's after-hours line for guidance.
Does molluscum contagiosum on my baby's skin go away on its own?
In many cases, molluscum contagiosum on my baby's skin resolves on its own, especially when your child has a few small, painless bumps with central dimples that are not growing rapidly or causing distress. By 2-3 years, molluscum may spread or persist during this age. When bumps are about to resolve naturally, they may become red, swollen, and slightly tender — this is actually a good sign called the "BOTE" (Beginning of the End) reaction, meaning the immune system is fighting the virus. If treatment is desired (for extensive spread or cosmetic concerns), options include topical treatments (cantharidin applied in-office, tretinoin cream), cryotherapy (freezing), or curettage (scraping). These treatments can be uncomfortable and should be weighed against the option of waiting for natural resolution. Consult your dermatologist or pediatrician about the best approach.

References

  1. [1]American Academy of Pediatrics — Molluscum Contagiosum AAP
  2. [2]Centers for Disease Control and Prevention — Molluscum Contagiosum CDC
  3. [3]American Academy of Dermatology — Molluscum Contagiosum: Diagnosis and Treatment AAD

All content follows our editorial policy and is reviewed against published clinical guidelines.

2,705 evidence-based guides6 authoritative medical sources

Bottom line

Most cases of molluscum contagiosum on my baby's skin are normal. Talk to your pediatrician if the bumps become very red, warm, painful, and develop pus — this may indicate a secondary bacterial infection requiring antibiotics.

Trust your instincts. If something feels wrong, reach out to your pediatrician. Worrying about your baby means you care — that is a good thing.

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