Childhood Bullous Pemphigoid

To the Editor.—  We enjoyed the comprehensive review on childhood bullous pemphigoid (BP) by Nemeth et al¹ in the March 1991 issue of the Archives, and we would like to draw the authors' attention to one additional case they did not mention^2,3 that we think is of interest. A 3-month-old boy had lesions localized to his feet; this, indeed, appears to be a striking clinical feature of BP at this age. The bullous eruption dramatically responded to sulfapyridine therapy (120 mg/d) for 6 weeks. No recurrence has been seen after 3 years of follow-up. The mother has had, during pregnancy, an eruption thought to be the "pruritic urticarial papules and plaques of pregnancy," but, for the reasons discussed elsewhere,³ we could not exclude herpes gestationis; no circulating antibodies in the mother's serum were detectable by Western blotting 3 months after delivery.² Therefore, we could not establish