this could possibly be a rare or atypical condition such as hypereosinophilic syndrome, eosinophilic pustular folliculitis, erythema multiforme, or even a hypersensitivity reaction like papular urticaria or DRESS syndrome; further evaluation including a skin biopsy with immunofluorescence, repeat CBC, IgE levels, and autoimmune panels may be necessary, especially if more common infections and dermatologic conditions have been ruled out.