A 45-year-old man presented to dermatology outpatient department with complaints of sudden-onset, painful, clustered, monomorphic, punched-out erosions and ulcers, distributed symmetrically in the periocular and malar area, and nose (Fig. 1). He also complained of associated fever, malaise and bilateral cervical lymphadenopathy. Additionally, multiple eczematous lesions and excoriations were present over his beard region.