Chelsea Kesty, B.Sc, Katarina Kesty, M.D. M.B.A, Joseph L. Jorrizzo, M.D.
We present a 36-year-old Caucasian female with a one year history of rash on her chest. Prurigo pigmentosa was diagnosed clinically and treated with doxycylcine. Fewer than 50 cases have been described in non-Japanese patients. In these cases it is often associated with systemic conditions, which will be discussed whether clinicians should work up where hereditary or genetic factors may not predominate.