*Penn State College of Medicine, Hershey, PA; and

†Department of Dermatology, Penn State Health, Hershey, PA.

Correspondence: Jill Stachowski, BS, Penn State College of Medicine, 700HMC Crescent Road, Hershey, PA 17033 (e-mail: [email protected]).

J. Stachowski, J. Strassner, and C.G. Bazewicz wrote the manuscript. T.N. Helm made the diagnosis, took microscopic photographs, and edited the manuscript. All authors approved of the final manuscript.

The authors have no conflicts of interest to disclose.

Written informed consent was obtained from the patient.