Molluscum contagiosum lesions on the eyelid are best described as which of the following?

• A. Dome-shaped, umbilicated waxy nodules
• B. Flat pigmented patches
• C. Calcified plaques
• D. Ulcerating lesions

Answer: (A)

Molluscum contagiosum on the eyelid shows up as small, smooth, dome-shaped papules with a central dimple, giving a waxy, pearly appearance. That central umbilication is the hallmark feature and helps set these lesions apart from other eyelid problems. Flat pigmented patches lack the raised, domed form and central depression, so they don’t fit. Calcified plaques imply calcification and a different process, not molluscum. Ulcerating lesions would show breaks or erosions on the surface, which molluscum lesions do not. Recognizing the smooth, dome-shaped, central-dimple nodules on the eyelid helps distinguish molluscum contagiosum from other eyelid lesions.