Would you utilize rituximab or dupilumab for treatment resistant bullous pemphigoid?  

Dupilumab is a phenomenal drug for BP in most patients and is inarguably safer. I have had luck getting coverage citing many positive studies, and as an aside tralokinumab has a better patient assistance program than dupilumab and so far has worked just as well in my clinic as dupilumab. If a patien...

Yes, we will utilize prednisone as a bridging treatment and hopefully move patients then to dupilumab or rituximab.

Doxycycline +/- topical steroid handles most of my chronic BP. Dupilumab for the rest.

I would use Rituximab simply based on one case experience where the patient flared two days after his first Dupilumab injection.