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Lichen planus involving the esophagus.
A Ukleja1, K R DeVault, M E Stark
1Division of Gastroenterology and Hepatology, Mayo Clinic, Jacksonville, Florida, USA.
Digestive Diseases and Sciences
|October 30, 2001
Summary
Lichen planus rarely affects the esophagus, causing dysphagia. This study highlights two cases of esophageal lichen planus, emphasizing its consideration in women with unexplained swallowing difficulties.
Area of Science:
- Gastroenterology
- Dermatology
- Otolaryngology
Background:
- Lichen planus is a common mucocutaneous condition.
- Esophageal involvement is rare, often presenting atypically.
Observation:
- Two middle-aged women presented with recurrent dysphagia.
- Initial diagnosis considered gastroesophageal reflux disease.
- Endoscopic findings revealed desquamative esophagitis.
Findings:
- Esophageal lichen planus was diagnosed based on endoscopic and biopsy findings.
- This condition can mimic other esophageal disorders.
- Literature review identified limited reported cases.
Implications:
- Clinicians should consider esophageal lichen planus in patients with unexplained dysphagia or odynophagia, particularly middle-aged to elderly women.
- Early diagnosis and appropriate management are crucial.
- Further research is needed to understand the pathophysiology and treatment of esophageal lichen planus.