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Edward Rowell, 90, who spent 38 years in the Foreign Service, served as ambassador to Bolivia, Portugal and Luxembourg before retiring in 1994 and later was president of the Association for Diplomatic Studies and Training as well as Dacor, an organization of retired diplomatic and consular officers, died April 14 at his home in Bethesda, Md. The cause was bullous pemphigoid, a rare skin condition, said his wife, Le Rowell.

As for what happens after that, here’s how Itch puts it: “Delayed pruritic indurated papules may arise within 24-36 hours and then diminish over several days or weeks. Larger local manifestations vary from pruritic, warm tumefaction to bullous reactions.”

“In recent years, his health began to decline and he developed a rare and horrible skin disease called Bullous Pemphigoid,” she said in the February statement.

Charo said in her statement that in recent years Rasten developed Bullous pemphigoid, a rare skin disease, became very depressed and was taking numerous medications, which “became too much for him.”

Impetigo may be considered a superficial skin infection but there can be cases of bullous impetigo, where large blisters may form.