Prurigo pigmentosa in an African-Canadian patient: Expanding the limited literature on skin of color

Prurigo pigmentosa is a rare inflammatory dermatosis that predominantly affects East Asian populations, with very few reported cases in individuals with darker skin tones. The condition is characterized by pruritic, erythematous papules that evolve into a distinct, net-like pattern of hyperpigmentation. Due to its rarity in non-Asian populations, prurigo pigmentosa is often underdiagnosed or misclassified as other hyperpigmented dermatoses. We present the case of a 33-year-old African-Canadian woman who developed prurigo pigmentosa following prolonged fasting, contributing to the limited literature on this condition in skin of color. This report aims to raise awareness of prurigo pigmentosa in underrepresented populations.