To the Editor: Kaposi’s varicelliform eruption (KVE) is a distinct viral skin disease which is characterized by disseminated vesiculopustules and erosions superimposed on the preexisting dermatosis. It is mostly caused by herpes simplex virus (HSV) type 1 or 2 and rarely by vaccine‐virus or Coxsackie A16 virus. The KVE is normally described in atopic dermatitis (AD), but also observed in association with papulosquamous or acantholytic dermatosis. Report about rosacea complicated with KVE is rare. On the other hand, tacrolimus ointment has been demonstrated to be an effective treatment for steroid‐induced rosacea. Here, we report a case of KVE in a patient with rosacea during long‐term treatment with 0.03% tacrolimus ointment.