Erythromelanosis Follicularis Faciei et Colli is a unique erythematous pigmentary disease characterized by a reddish-brown, sharply demarcated, symmetrical discoloration involves the preauricular and maxillary regions. At times the pigmentation is blotchy. In addition, pale follicular papules may be present. Keratosis pilaris on the arms and shoulders is frequently found. It preferentially affects Asian patients. The present patient is an adolescent presented with bilateral symmetrical blotchy brownish hyperpigmentation on both cheeks and preauricular areas with some follicular papules of 4 years duration. In addition, to keratosis pilaris on both shoulders and upper arms.