A biopsy specimen from a nonhemorrhagic, nonbullous lesion demonstrated the typical features of lichen sclerosus. The other specimens, from bullous and hemorrhagic lesions, showed marked edema and hemorrhage in the upper dermis. In both lesions, there were dilated blood capillaries within the edematous and hemorrhagic areas.
During her hospital stay, the patient received therapy with antiseptics, analgesics, topical corticosteroids, and oral antihistamines. She had a decrease in pain, and the ulcers began to heal. Examination 1 month later showed that all the ulcers had healed, although there were still areas of sclerosis and atrophy on the trunk and limbs.
Bullous and Hemorrhagic Lesions. Arch Dermatol. 1999;135(1):81-86. doi:10-1001/pubs.Arch Dermatol.-ISSN-0003-987x-135-1-dof0199