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Molluscum are caused by a virus called a poxvirus. The presence of this virus in the skin causes previously normal skin to grow into bumps. These painless small bumps typically possess a central divot or crater (umbilication). A molluscum, left alone, will not present with discharge or bleeding. The presence of discharge or bleeding may indicate another diagnosis - consult one of our specialists. A diagnosis is made by visual examination. At times your physician may send a tissue sample (biopsy) for confirmation by a trained pathologist.