Shifting from expectant observation to active intervention

When confronted with recalcitrant dermatoses, expectant observation may be reasonable. Two examples include porokeratoses (making sure that squamous cell carcinomas do not develop) and childhood molluscum contagiosum (knowing that lesions will ultimately involute). I have treated both disorders with innumerable modalities and have concluded that watchful waiting may be the most prudent management strategy. In this issue of the Journal of the...