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ABSTRACT Background: Lichen sclerosus is a chronic inflammatory skin disorder that most commonly affects women before puberty or after menopause. Lichen sclerosus is characterized by skin changes of the external genitalia. The most common distribution is involving the vulva and perianal area. The head of the penis and other parts of the body may also be affected. In fact, this skin condition can affect any skin surface with the most common extra-genital sites being on the trunk, a limbs.1 Extragenital involvement is found in approximately 11% of women and is rare in men. Extragenital involvement alone is uncommon and has been reported in about 6% of all women with LSA. The aetiology of LSA is unclear, but genetic, physiological and environmental factors are thought to be involved. Objective: To describe the clinical features and complications of disease and discuss the current management. Methods: Detailed history, physical examination and histopathology findings, a diagnosis of generalized lichen sclerosus Et atrophicus (LSA) was made. Other laboratory examinations were unremarkable. Conclusion: Generalized type is rare and genital involvement is most frequent and often the only site of involvement. As there is no standard treatment for LSA, the patient received various treatments for topical steroid, tacrolimus and narrow -band ultraviolet B therapy. The skin lesions has softened and its color improved after treatment. As, this case is reported an uncommon type of LSA with generalized hyper pigmented and sclerotic skin lesion in a postmenopausal female patient.