A 31-year-old man sought medical attention because of recurrent episodes of itchy follicular papules for 3 years with worsening of his condition during wintertime. Physical examination revealed hypopigmented plaques surrounded by small, slightly scaly, flesh-colored papules and a white dermographism. These lesions were few in number and were distributed over the trunk and upper extremities (Figs. 1 and 2). Personal history revealed asthma bronchiale, allergic rhinoconjunctivitis, and food allergy since childhood. Results of laboratory tests showed elevation of total IgE levels