Introduction
Lichen sclerosus et atrophicus (LSA) and morphea are chronic inflammatory skin diseases with unknown etiology, characterized by sclerosis of the connective tissues. Bullous type of both diseases is a rare finding (1-4). LSA usually occurs alone, but the coexistence of lichen sclerosus et atrophicus and morphea is a rare finding. Several authors believe that these two diseases have different manifestations. but they are on the same spectrum (1, 2, 5).
Herein, we report a case consistent with bullous combined LSA and morphea that was treated with methotrexate and methylprednisolone pulse.