A 58-year-old White male was referred to the Dermatology Clinic for a 2-year history of a generalized pruritic, burning rash. A biopsy done by his primary care provider showed acute folliculitis with microabscess in the superficial dermis. Cutaneous examination revealed erythematous to violaceous macules and papules heavily distributed over the shoulders, back, and arms, and a few papules scattered on the upper chest. Erythematous macules were distributed on the penis, thighs, lower legs and dorsal feet. He has no lymphadenopathy.