Abstract
To the Editor.— On the subject of children with preexisting eczema who develop molluscum contagiosum, 1 Block 2 doubts Gellis' 3 notion that the correlation is due to the use of topical steroids. Block points out that in a patient he saw, the molluscum lesions did not coincide with the eczema patches, but were distributed mainly in other locations. There is another reason why eczema may be accompanied by molluscum, and it is most important. Eczema, indeed any widespread dermatitis, is likely to lower the resistance of the skin to infection and to allow for relatively rapid spread. It is certainly logical that this should happen in inflamed, exposed areas. Vaccinia occurring in children with eczema is an extreme example. Ordinary pyoderma is common and rampant as a secondary effect in atopic children. There is no reason why the same should not result from molluscum contagiosum, or any other infectious
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