There has been controversy about the possible link between bullous pemphigo
id and underlying malignancy. We report a case of bullous pemphigoid with m
arked figurate erythema which arose shortly before the clinical presentatio
n of colonic carcinoma and cleared completely 1 week after its resection. W
e review the literature and conclude that patients who present with clinica
lly atypical bullous pemphigoid may warrant investigation for underlying ne
oplasia.