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Steven R. Kohn, MD
Hackensack, NJ

Arch Ophthalmol. 1987;105(4):458.

	Since this article does not have an abstract, we have provided the first 150 words of the full text PDF and any section headings.

To the Editor.

—Profound defects in cell-mediated immunity predispose patients with acquired immunodeficiency syndrome (AIDS) to infections by a pernicious panoply of pathogens, including viruses. Invasion, damage, and destruction of patients with AIDS have been ascribed to cytomegalovirus, Epstein-Barr virus, herpes simplex virus types I and II, papillomavirus, papovavirus, varicella zoster virus, and, recently, the poxvirus that causes molluscum contagiosum (MC).^1-3

In otherwise healthy hosts, MC is a common, usually self-limited, cutaneous infection, often with fewer than 20 lesions. Spontaneous resolution typically takes three to 12 months; many therapeutic modalities can readily shorten this course. In adults, involvement of the genitalia, lower abdomen, and upper thighs indicates sexual transmission. Typical individual lesions of MC are shiny, pearly white, centrally umbilicated papules 3 to 5 mm in diameter.

The 35-year-old woman seen in the Figure was an intravenous drug abuser who had had Pneumocystis carinii pneumonia and the immunologic markers . . . [Full Text PDF of this Article]

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