A 29‐year‐old Korean woman presented with a pruritic, reticulate, red‐brown, papular eruption overlying her clavicle and neck, occurring in the setting of carbohydrate restriction (Figure, A and B). Medical history included polycystic ovarian syndrome, impaired fasting glucose, and anorexia nervosa (in remission). Biopsy revealed non‐specific changes and a clinical diagnosis of prurigo pigmentosa was made. Rapid resolution occurred with minocycline and re‐introduction of complex carbohydrates.
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