Molluscum contagiosum in darker-skinned individuals presents as small, shiny, flesh-colored or slightly pigmented bumps that may be harder to detect but can still cause itching or irritation. These dome-shaped lesions, often with a central dimple, appear on the face, trunk, or limbs and can spread through direct contact or shared objects. Treatment typically includes cryotherapy, curettage, or topical agents like cantharidin or imiquimod to remove the lesions, though without treatment they often resolve spontaneously within months to a year.