Lichen sclerosus (LS) is a rare, chronic, mucocutaneous disease, with a genital and extragenital manifestation. The etiology is not completely clarified, but there are suspicions for the role of genetic, autoimmune, infectious or hormonal factors.We present a 58-year-old woman with five-year evolution of rare bullous-hemorrhagic type of Lichen sclerosus, engaging the trunk and limbs and verified by histopathological examination. The disease was characterized by the appearance of hemorrhagic bullae on the sclero-atrophic plaques. The lesions were locally treated with high-potency topical corticosteroid (Clobetasol propionate 0.05% cream). A solution with antiseptic action (Povidone-iodine 10%) was administered for the erosion, caused by a rupture of the bulla. As a result, the erosion fully epithelized for a month. This case describes a rare type of Lichen sclerosus which responded favorably to the local treatment with corticosteroids and antiseptics.