Pemphigus vulgaris in darker-skinned individuals can present as painful, fragile blisters and erosions that may leave behind areas of hyperpigmentation once healed. The condition affects both the skin and mucous membranes, making it difficult to manage due to potential scarring and pigment changes. They are autoimmune conditions. Treatment typically includes topical and systemic corticosteroids, immunosuppressive agents like rituximab, and careful wound care to prevent infection and minimize pigmentation alterations.