A 60-year-old man with refractory, low grade B-cell lymphoma and persistent neutropenia presented with multiple nontender 2- to 4-mm dome-shaped papules and pustules on his chin, ankles, and hands. Some papules were verrucous, and others, umbilicated (Figure 1). Six weeks previously, he had a herpes zoster outbreak on his left flank, which despite treatment, eventuated in disseminated skin lesions and central nervous system involvement. Lesions resolved under treatment with intravenous acyclovir, but new lesions appeared after tapering doses of the antiviral agent.