Abstract
Insects, though tiny creatures, are considered harmless but are also known causative agents in a vast variety of diseases, especially skin disorders. We present one of the cases reported in Pakistan caused by the burrowing bug in an old-age male. He had a history of a trip to Iraq and observed his skin changes when he landed back in Pakistan. A detailed examination and investigation were done to reach the diagnosis of Cydnidae Pigmentation (CP) by excluding important differentials like acral lentiginous melanoma, dysplastic melanocytic nevus, pigmented basal cell carcinoma, and lichen planus.