Bullous pemphigoid (BP) is an autoimmune disease that normally presents in older adults, with large bullae distributed over the whole body. Acrally limited BP is a rare pattern of disease that is almost always seen in childhood or infancy. We present an unusual case of a 97-year-old woman with this disease variant and discuss her risk factors which may have contributed to her presentation. Providers should be aware of cases like this so that they can more accurately diagnose and treat their patients.