ConditionsSkin DisordersBullous Disease (Pemphigus, Epidermolysis Bullosa, etc.)
Blue Book Listing 8.03

Bullous Disease (Pemphigus, Epidermolysis Bullosa, etc.)

Chronic blistering disorders of the skin and mucous membranes.

What you have to prove

Extensive skin lesions involving the oral cavity, perineum, or axillae that persist for at least 3 months despite continuing treatment as prescribed.

Medical evidence SSA expects

Dermatologist records, biopsy results, photographs, and treatment history including immunosuppressants.

Common misconceptions

Pemphigus on effective treatment may not show persistent extensive lesions. Epidermolysis bullosa simplex variants rarely qualify; dystrophic or junctional forms qualify more readily.

Didn't meet the listing? You can still qualify via a Medical-Vocational Allowance — SSA's determination that your residual functional capacity, combined with your age, education, and work history, leaves no jobs you can do. See our appeals guide for what to do after an initial denial.