Bullous pemphigoid (BP) is an autoimmune subepidermal blistering disease. Urticarial BP, an uncommon variant, presents with pruritic urticarial plaques and erosions rather than tense bullae. We describe a 68-year-old male from Western India with pre-existing ischemic heart disease (microvascular angina) who presented with a 7-month history of pruritic rash and burning sensations affecting his extremities and buttocks. A skin biopsy confirmed urticarial BP. The patient achieved remission within two months following treatment with a combination of systemic immunosuppressants and topical corticosteroids. 

Kiran Dange is a distinguished Consultant Interventional Dermatologist, Laser Surgeon, and Postgraduate Teacher based in Pune, India. Holding MBBS, MD (Skin & VD), FAM, MACSI, an Executive Management diploma from IIM Ahmedabad, a German Fellowship from Ernst Moritz University, PGD in Philosophy, and a Diploma in Medico-Legal Systems, he represents a rare convergence of medicine, management, philosophy, and law. Associated with B. J. Govt. Medical College, Pune, he serves as Honorary Consultant to the Ministry of Defence, Government of India, with over 5,000 laser surgeries to his credit. A Scopus-indexed researcher (ID: 58996043200) with 30+ peer-reviewed indexed publications, 2 non-fiction books, and 2 Government of India patents, his research spans dermatology, nanomedical bots, carbon sequestration, auxiliary fuel cells, and regenerative systems placing him at a visionary crossroads of medicine, technology, and sustainability.