Unraveling a Rare Dermatological Conundrum: Bullous Pemphigoid Unveiled in a Pediatric Patient with a Familial Twist

Bullous Pemphigoid is an autoimmune, blistering skin disorder that is rarely seen in infants and children. Diagnosing Bullous Pemphigoid in children is challenging due to its rarity in this age group. Bacterial and parasitic infections can trigger bullous and blistering lesions in individuals with underlying Bullous Pemphigoid. We report a 5-year-old child who presented with pruritic blisters and bullous lesions, initially attributed to scabies. Porphyria Cutanea Tarda was also considered based on blistering skin and family history. Although immunofluorescence studies were not performed, the diagnosis of Bullous Pemphigoid of Childhood was confirmed through skin biopsy. The patient was treated with corticosteroids after addressing the scabies infection. This case highlights the importance of a comprehensive diagnostic approach in distinguishing between autoimmune and infectious skin condition.