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Esophageal lichen planus: a rare case.
Cristina Teixeira1, Ana Luísa Alves2, Isabelle Cremers2
1Gastroenterology, Centro Hospitalar de Setubal, Portugal.
Revista Espanola De Enfermedades Digestivas
|November 24, 2017
Summary
Lichen planus is a rare idiopathic disease affecting skin and mucosae. This case highlights esophageal lichen planus in a 50-year-old man, a condition linked to squamous cell carcinoma.
Area of Science:
- Gastroenterology
- Dermatology
- Pathology
Background:
- Lichen planus is a rare idiopathic inflammatory condition.
- It commonly affects the skin and mucous membranes, including the oral cavity.
- Esophageal involvement is less common, particularly in men.
Observation:
- The case involves a 50-year-old male patient.
- The patient presented with symptoms suggestive of esophageal disease.
- Esophageal lichen planus can be asymptomatic or present with dysphagia and odynophagia.
Findings:
- Esophageal lichen planus, though rare, has been associated with an increased risk of squamous cell carcinoma.
- Systemic corticotherapy is the primary treatment, but high relapse rates (85%) are noted upon steroid withdrawal.
Implications:
- This case expands the understanding of esophageal lichen planus demographics.
- Early diagnosis and management are crucial due to the potential malignant transformation.
- Further research into long-term management strategies for esophageal lichen planus is warranted.
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