On initial presentation she was restless and irritable with a generalized eruption of confluent, erythematous, and hyperpigmented, weepy, and lichenified plaques. She was initially started on a regimen of mid-potency topical corticosteroids, antihistamines, citrus-limited diet, and bathing restrictions (decreased water temperature and bath duration of 7 minutes or less). Topical corticosteroids on the face were restricted to class 6 or lower, 1 to 2 times per day. She improved minimally with these measures, and a trial of UV-B 3 times weekly was started. After a lack of improvement, she was switched to UV-A 3 times weekly. Her pruritus improved with maintenance of UV-A phototherapy, topical corticosteroids, and antihistamines. Proper eye protection was used during phototherapy treatments. She was started on long-term trimethoprim-sulfamethoxazole therapy by an infectious disease specialist for recurrent methicillin-resistant Staphylococcus aureus skin infections.