A woman in her 20s presented with a 6-year medical history of a cutaneous eruption on the face, ears, and breasts. The eruption was tender and worsened with sun exposure. She was diagnosed with systemic lupus erythematosus several years prior and had been followed up by a rheumatologist. She was treated with topical steroids, rituximab, belimumab, hydroxychloroquine, and azathioprine, and reported improvement only from systemic steroids. At the time of presentation, she had not been taking any type of topical or systemic therapy for several years, with questionable use of sun protective measures.