By Gary M. White, MD

Localized Bullous Pemphigoid Blisters here are localized around the umbilicus.

Rarely, bullous pemphigoid (BP) may occur localized to one area, e.g., the pretibial area, umbilicus, palmoplantar region, and genital, perineal, and perianal area. Or, it may be confined to sites previously affected by, for example, radiotherapy, surgery, trauma, and burns, as well as around stomata and hemodialysis fistulae. Localized lesions may remain localized or evolve into classic BP.

See progression of the lesion above here.


Localized tense bulla and erosions from ruptured blisters are seen. The diagnosis, just as with classic bullous pemphigoid, is by biopsy and immunofluorescence.


A potent topical steroid is often sufficient. See also bullous pemphigoid.

Additional Pictures

The pretibial location is very common for localized BP.
Bullous pemphigoid localized to the shins Bullous pemphigoid localized to the shins


Homepage | FAQs | Use of Images | Contact Dr. White

It is not the intention of RegionalDerm.com to provide specific medical advice, diagnosis or treatment. RegionalDerm.com only intends to provide users with information regarding various medical conditions for educational purposes and will not provide specific medical advice. Information on RegionalDerm.com is not intended as a substitute for seeking medical treatment and you should always seek the advice of a qualified healthcare provider for diagnosis and for answers to your individual questions. Information contained on RegionalDerm.com should never cause you to disregard professional medical advice or delay seeking treatment. If you live in the United States and believe you are having a medical emergency call 911 immediately.