Summary : A 59-year-old man was referred to our clinic in September 1997 with a long history of severe itching on both his lower legs. At clinical examination we found inconspicuous, pruritic eruptions of small brownish macules and papules distributed typically in a rippled, symmetric fashion on the ventral site of the lower leg (Figs. 1 and 2). The remaining integument and all laboratory investigations were normal.