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Bullous pemphigoid (BP) is an acquired, inflammatory, sub-epidermal, immunobullous disease. It usually occurs in the elderly population and reported cases of BP in adults are very rare. This report describes an adult Yemeni female who was clinically diagnosed to have BP, and successfully treated with a steroid containing short term regimen. It concludes the possibility of reaching a clinical diagnosis of BP in disadvantaged areas based on the clinical criteria, and the importance of considering a diagnosis of BP in young adults and even in children who present with itchy tense blisters of forearms, hands and feet. When accessible, further immunofluorescence studies are important to confirm the accuracy of the clinical diagnosis of BP.

Bullous pemphigoid (BP) is an autoimmune disease characterized by presence of bullous eruption on the trunk and extremities especially flexural aspects of the limbs. This disease usually occurs in the elderly. The initial presentation of BP is variable. An urticarial or erythematous rash may precede the appearance of the blister formation and can be associated with itch or pruritus. We presented 87 year old bedridden man diagnosed with BP who initially presented with erythema gyratum repens like eruption before blister formation. This case report discusses the presentation of figurate erythema in non-bullous phase of BP for clinicians.