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A 32-year-old black male, born in a West African country, reported the development of multiple asymptomatic brown-to-violaceous plaques on the legs in the previous 2 months. He was diagnosed with human immunodeficiency virus (HIV) type 1 infection 9 years before but had bad compliance with highly active antiretroviral treatment (HAART). One month before noticing the development of skin lesions, HAART was reinitiated with emtricitabine, tenofovir and dolutegravir. At the time of presentation, CD4+ lymphocyte count was 870 cells/mm3 and viral load was 22 copies/mL. Serologies for syphilis and hepatitis B and C virus were negative. On skin examination, the patient had multiple red-brown nummular plaques with an oval-to-irregular outline on the legs (Figure 1). The lesions measured 1 to 3 cm in diameter, had a lighter central area, and were surrounded by a narrow erythematous-violaceous border. Dermoscopy revealed a diffuse coppery-red structureless background permeated by a brownish-to-gray network with ill-defined borders and a polymorphic pearly white central area with polygonal-to-oval red and gray dots, globules, and patches (Figure 2). Histopathologic examination revealed a dense band-like lymphocytic infiltrate in the upper dermis, endothelial cell swelling and extravasation of red blood cells with hemosiderin inside of macrophages. There was no visible vessel wall damage (Figure 3). Dermoscopy of Pigmented Purpuric Lichenoid Dermatitis of Gougerot and Blum in an HIV-infected Patient