A case of reactive perforating couagenosis occurring in a 23-year-old lady born of consangiunous parents is reported. No other member of the family was affected. Lesions had started appearing at the age of 12 years . with remissions and exacerbations. The lesions were mainly distributed over the exposed parts of the body. Histopathology was consistent with the clinical diagnosis. The paucity of reports regarding this entity has prompted the author to report this case.
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