Lichen sclerosus is a chronic inflammatory dermatitis mediated by lymphocytes and characterized by white, slightly raised, atrophic papules and plaques on the skin. Morphea, a localized scleroderma, is also an inflammatory fibrosing disease characterized by round, erythematous to violaceous, patches and plaques with a white sclerotic center. For decades, it was widely believed that lichen sclerosus and morphea could not exist simultaneously, as they were each thought to represent distinct conditions. In recent years however, studies have reported sporadic cases in which patients have presented with both conditions according to histological evaluation, thus suggesting that the two conditions may exist on a spectrum of disease. In this case report, we present a patient with co-existing lichen sclerosus and morphea, providing further evidence that these two diseases present on a pathologic spectrum.