Epidermolysis bullosa acquisita in darker-skinned individuals typically presents as fragile skin with blisters and erosions that heal with dark pigmentation or scarring. The condition can lead to extensive areas of post-inflammatory hyperpigmentation, especially in trauma-prone regions like the hands, feet, and elbows. Treatment includes corticosteroids, immunosuppressive agents, and careful wound care to prevent infection and reduce blister formation, while addressing any pigmentation changes with supportive skin care therapies.