Skin manifestations can herald, co-exist, or follow the evolution of inflammatory bowel disease 6 Pc. Sectional (IBD).We report a middle-aged man with recent onset alopecia universalis and a history of intermittent diarrheal attacks for 6 years.Colonscopy and biopsy sampling confirmed ulcerative colitis.Regrowth of hair was achieved by treating the patient with azathioprine and mesalamine.Clinicians have to be aware that a multitude of Spring skin manifestations with history of diarrhea can be an extraintestinal manifestation of IBD such as ulcerative colitis and this warrants further investigation.