Dellavalle et al1 reported a higher nevus count in 3-year-old children with atopic eczema (AE) and a light skin pigmentation. This is in contrast to a previous observation that adults with long-standing AE had a lower nevus count.2 To provide further evidence, we analyzed data from a cross-sectional study involving 6-year-old children assessed during a mandatory medical examination prior to school enrollment in Erlangen and Salzgitter, Germany.