SHM Aljabre, AM Alamir, NA Habiballah, Erythromelanosis Follicularis Faciei: First Case Report from Saudi Arabia. 2003; 23(6): 397-398 Erythromelanosis follicularis faciei (or erythromelanosis follicularis faciei et colli when the neck is also affected) is a rarely documented skin disease. In this paper, a case of erythromelanosis follicularis faciei in a Saudi male patient is presented. We believe it is the first case from Saudi Arabia. CaseA 17-year-old Saudi male was referred to the dermatology department, King Fahd Hospital of the University, Alkhobar, Saudi Arabia, for evaluation of asymptomatic red lesions on the face. The duration of the lesion was six years. The cheeks were initially involved and the lesion gradually expanded. Exposure to sun aggravated the lesion. There were no systemic complaints and the family history was negative for similar lesions. The examination revealed well-defined symmetrical red-brown lesions with follicular papules involving the cheeks, lower lip and auricles (Figure 1). Beard hair on the cheeks was decreased. Keratosis pilaris was present in the shoulder areas. ANA and anti-double strand DNA were negative and the erythrocyte sedimentation rate and complete blood count were within normal limits. Biopsy showed mild hyperkeratosis, follicular plugging and increased pigmentation of the basal layer (Figure 2). In the dermis, there were dilated blood vessels and a sparse perivascular lymphocytic infiltrate.