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A 33-year-old female with relapsed acute myelocytic leukemia (AML) underwent allogeneic stem cell transplantation and developed graft-versus-host disease (GVHD) affecting the liver and a history of varicella zoster (VZ) infection involving C2, C3, and C4 dermatomes that was managed with intravenous acyclovir. She presented with pruritic, hyper-pigmented papules over the VZ-healed site (Figure 1 ). Wickham striae over the oral mucosa were observed. A 4-mm skin biopsy showed lichenoid dermatitis with giant cells (Figure 2 ). The patient was managed with topical clobetasol (0.05%) ointment twice daily. At just one week’s follow-up examination, the lichenoid eruption had improved significantly.