This case involves a 60-year-old male patient with a past medical history of diabetes, heart disease, and kidney disease. He was being seen by a dermatologist for itchy, bleeding lesions affecting both temples and upper cheeks for a one-month duration. These lesions were described to be excoriated plaques and the working diagnosis was that of neurodermatitis. Lidex was prescribed twice daily at this point with a follow up in three weeks. Upon follow-up, the condition improved somewhat but the lesions were still present which prompted the physician to perform a biopsy. His dermatologist then recommended light therapy to heal the lesions. The patient started ultraviolet light (UVB) phototherapy room treatment for 1.5 minutes with 30-second increases, every week as tolerated. After several months of treatment, the patient complained of a red and painful burning sensation on his face which was described by the physician as a possible photo-derm reaction.