Bullous pemphigoid (BP) is the most common subepidermal blistering disease. It affects mainly the elderly, and the associated morbidity is significant. Previous studies have described patients with pruritus and immunopathologic features of BP but without blister formation. As a result, nonbullous skin lesions or pruritus alone may be misdiagnosed as xerosis, cutaneous drug reaction, dermatitis, renal or liver impairment, or scabies in elderly patients. In this case series, Bakker et al describe 15 patients with pruritic nonbullous pemphigoid. In 11 of these patients, treatment with potent topical corticosteroids or methotrexate sodium led to remission. It remains unclear why this patient subset does not develop the classic blisters of BP.