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Esophageal Lichen Planus: Clinical and Radiographic Findings in Eight Patients
Andreas M Rauschecker1, Marc S Levine1, Matthew J Whitson2
11 Department of Radiology, Hospital of the University of Pennsylvania, 3400 Spruce St, Philadelphia, PA 19104.
AJR. American Journal of Roentgenology
|October 12, 2016
Summary
Esophageal lichen planus typically affects older women, causing dysphagia. Radiography may show a narrowed esophagus or strictures, aiding earlier diagnosis.
Area of Science:
- Gastroenterology
- Dermatology
- Radiology
Background:
- Esophageal lichen planus (LP) is a rare condition.
- Clinical and radiographic findings are not widely recognized.
Observation:
- This study reviewed 8 patients with esophageal LP diagnosed via biopsy or presumed diagnosis.
- All patients were women (median age 66.5 years) presenting with dysphagia.
- Radiographic findings included diffuse esophageal narrowing or segmental strictures.
Findings:
- Dysphagia was a universal symptom, with a mean duration of 3.2 years.
- Four patients had a history of LP in other locations (skin, oral, vaginal).
- Radiographic abnormalities were observed in 67% of patients undergoing barium esophagram.
Implications:
- Radiographic findings like a small-caliber esophagus or strictures can suggest esophageal LP.
- Increased awareness of these findings can improve diagnosis and management.
- Further research into the pathogenesis and treatment of esophageal LP is warranted.
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