Urticated papules and plaques initially started from abdominal striae and then slowly spread to the rest of the body involving chest, thighs and buttocks.
These cases can present with eczematous and urticated lesions; scaly and crusted lesions; localized bul lae, erosions, or vegetating lesions; persistent mucosal lesions; and lesions with skin fragility or atrophic scarring.
On skin examination, patient had multiple vesiculo bullous tense blisters present over erythematous annular urticated plaques on chest, back, B/L upper and lower extremities, both on flexor and extensor aspect.