Dear Editor, A 38-year-old Japanese woman presented with a 3-week history of recurrent itchy erythema with scales and sterile pustules on the trunk (Fig. 1a,b). She had been diagnosed with systemic lupus erythematosus (SLE), which manifested with antinuclear antibody positivity (1:640 homogenous and speckled), a high anti-dsDNA antibody titer (>300 IU/mL), polyarthritis and pericarditis 5 years previously. This was controlled with prednisolone sodium succinate (5 mg). She had no history of psoriasis vulgaris. She reported that itchy erythema with scales and a few pustules had developed during her second

We report a case of eosinophilic pustular folliculitis which showed pruritic erythroderma‐like eruption with deck‐chair sign, peripheral eosinophilia and elevated serum levels of IgE and TARC, mimicking papuloerythroderma of Ofuji.

We experienced a rare case of Munchausen syndrome with peculiar symmetric ulcers on the whole body. When encountering similar cases with factitious ulceration of the skin, a thorough understanding of the patient's psychiatric condition and a cordial consultation to present illness rather than physical medication might lead to disease stability.