Urticarial Bullous Pemphigoid: A New Case Report

Background: Bullous pemphigoid (BP) is the most common autoimmune bullous disease and it primarily affects elderly population. It typically presents with tense bullae severe pruritus. Non-bullous a subtype of BP characterized by lacking typical formation different presentations including erythematous, eczematous, urticarial, polycyclic, targetoid, nodular, lichenoid, vesicular erythrodermic. Aim: to document new case presentation urticarial who was treated for several years as chronic eczema. Case Report: A 56-year-old male patient presented history recurrent severely pruritic wheals 4 duration involving lower abdomen, back, upper extremities associated excoriations, keratosis, post-inflammatory hyperpigmentations on resolved sites, diagnosed histopathology & direct immunofluorescence study (DIF) improved systemic doxycycline therapy. Conclusion: can be atypical manifestation. Urticarial rare variant non-bullous that should taken into consideration in differential diagnosis an wheal not responding conventional