Lichen sclerosus is a chronic inflammatory disease, usually of the anogenital 
area, that causes intractable itching and soreness. Less commonly, it may have 
extragenital involvement in 15 to 20% of cases. Lichen sclerosus has been 
reported at sites of injury as a Koebner phenomenon. We report a case of lichen 
sclerosus at the site of a tattoo with simultaneous genital involvement.