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Published on: May 10, 2024
No lesion? No problem: case of oesophageal lichen planus in a patient without any cutaneous lesions
Tamoore Arshad1, Katarina Fleckenstein2, Nitin Sardana3
1Internal Medicine, Inova Fairfax Medical Campus, Falls Church, Virginia, USA tamoore.arshad@inova.org.
Abstract:
Oesophageal lichen planus (ELP) is an uncommon presentation of mucocutaneous lichen planus. Due to its rare nature, it can often be misdiagnosed. As such, there can be a significant delay between symptom onset and diagnosis. ELP drastically reduces quality of life secondary to the severe dysphagia and odynophagia that typically accompany this pathogenesis. Additionally, it is important to diagnose ELP in a timely manner as ELP increases the risk of squamous cell carcinoma, with reported cases of malignant transformation. More research is needed on ELP with regard to diagnostic criteria and evidence-based therapeutic recommendations.
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