Children's Medical Office of North Andover, P.C.
In This Issue
Warts and Molluscum
Spring Reminders
Call Us First
24 hrs/day,
7 days/week,
365 days/year

WALK-IN Sick Visit Hours:Monday-Friday 7am-7:45am

Monday-Sunday Same Day Sick Visit appointments.

The office will be CLOSED
APRIL 20, 2014
As always, a provider will be available by calling 978-975-3355


are now sent automatically following well child visits - please be certain we have your current email on file. 

If you need a school form prior to your next well child visit, you can
request online.

Requests are usually filled within 2 business days.  We will provide one paper or electronic copy.  You may re-print as many as you need during the year so please keep the original in a safe place.

To protect your child's privacy, we do not mail or fax these forms directly to third parties (such as schools, daycare or camps).

We recommend that you review the form carefully prior to submitting and contact us by telephone or email if you have any questions or concerns with the information provided.


CMO is celebrating three years of participation with the Reach Out and Read
literacy program.

For more information regarding the Read Out and Read program - click here.


Visit our website
Like us on Facebook

Follow us on Twitter

Warts and Molluscum

by Elisabeth Winterkorn, M.D


Mollscum and Warts are common skin rashes that are caused by viruses. The rashes are harmless and will resolve on their own over time - though it could take months or years!

Molluscum (muh-luhs-kum) contagiosum (k

m) looks like pearly- or flesh-colored bumps on the skin. These bumps can appear anywhere and often occur clusters of 10-20, but there can be many more.

Common warts are often skin-colored and feel rough, but they can be dark (brown or gray-black), flat, and smooth.

Because these conditions are both caused by viruses, they can be shared on towels and clothing. Wrestlers and gymnasts may get it from touching infected mats. Skin-to-skin contact also spreads the virus. Molluscum is also spread from one spot to another by scratching the skin.    



Molluscum: we primarily advise you to leave them alone and observe them untreated.

However, if the molluscum is more problematic, your provider may choose to prescribe either Imiquimod (Aldara), or RetinA. These are creams that are applied to the affected areas at bedtime three nights a week. Once the area begins to appear red and irritated, the cream is stopped. Treatment can be restarted in 1 month if the areas are not completely improved.

And in some cases we will refer you to see a dermatologist to consider treatment with Cantharidin, AKA "Beetle Juice," a chemical irritant applied to the skin to promote resolution of the lesions.

Warts: In many cases these also resolve without treatment and can be observed. If the warts are causing discomfort, however, they can be treated. We commonly recommend initially treatment with over-the-counter with salicylic acid solution. This needs to be done every night for at least 30-90days and sometimes longer.    



  • Go to a hardware store and buy a small sheet of #100-grain sandpaper (a pumice stone will work)
  • Buy a bottle of generic or brand-name liquid Salicylic acid 17% solution from the pharmacy - no prescription is required. (DO NOT buy pre-medicated pads/band-aids or over-the counter freezing solutions as these do not work as well).
  • Each night after bath and before bed, sand down the warts gently for about 5-10 seconds each.
  • Apply a dab of the liquid salicylic acid solution to each wart.
  • Cover the wart with a small piece of duct tape and leave on overnight     
REPEAT nightly until the wart is resolved. For warts on the soles of the feet, the wart will often fall out like a plug with a shallow hole remaining. If you see a dark black spot at the bottom that looks like dirt or a splinter that is the root. Continue the treatment until the root is gone, otherwise the wart will re-grow.
* if you develop irritation from the sandpaper or salicylic acid, then discontinue using it for a week or two and then try again. If the irritation comes back, stop completely and come in for evaluation. Do continue to use the nightly duct tape while waiting for the redness to resolve.    



This can cause some initial pain and burning as the surface of the skin is being temporarily frozen. The sensation of stinging and burning usually lasts less than 30 minutes, although on the palms and soles it may be sore for several days. You can use acetaminophen or ibuprofen as needed for pain relief.

At first the area will be red and puffy and may have blistering. Over a few days-weeks the area will become hard and crusted and should fall off. It should be gone after 3 weeks and the underlying skin should be flat and smooth.

If pain or swelling lasts or increases after 2-3 days, please return to the office for evaluation. Please leave any blistering alone, do not try to drain or remove it. Also, do not remove any scabs; this may cause more trauma and scarring. You may apply Vaseline or Aquaphor to help soothe the healing areas.


Tagamet - a prescription anti-reflux medication that has the side effect of reducing warts. It is taken by mouth twice daily for 3 months.
RetinA or Imiquimod - see prior section on Molluscum treatment.

ts or prospects, and why? Know what is important to them and address their needs in your newsletter each month. Include a photo to make your newsletter even more appealing.
Insert a "read on" link at the bottom of your article to drive traffic to your website. Links are tracked, allowing you to see which articles create the most interest for your readers.


Tips from the Psychologists at PCA

Handling Homework & Organizational Problems

Problem: Organizationally-challenged kids need particular homework assistance.


  • Homework gets done
  • Your child feels good
  • You cooperate instead of struggle
  • You're less angry


  • Plan out the week ahead of time.
  • Break homework tasks into small components.
  • Anticipate frustration & plan to take short breaks.
  • Verbalize homework answers & organize aloud before writing