Bullous pemphigoid in darker-skinned individuals presents as large, tense blisters on normal or darkened skin, which may heal with post-inflammatory hyperpigmentation. The condition can cause significant discomfort and scarring, especially if blisters rupture and become infected. Treatment typically involves systemic corticosteroids, immunosuppressive medications like azathioprine, and topical corticosteroids to reduce inflammation and control blister formation while minimizing pigmentation changes.