suffering since ? WeeksMonthsYears
Have you been in contact with anyone with molluscum YesNoNot Sure
Itching in the lesion YesNoOccasionally
pain in the lesion YesNoOccasionally
Are new ones coming up YesNoNot Sure
Have you got them removed anytime YesNo
Have you had them anytime before in life YesNoNot Sure
Any investigation done Yes No (pl mention in the more symptoms column,pl attach a photo of the lesion ) YesNo
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