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Oesophageal lichen planus.

R A Sheehan-Dare, J A Cotterill, A V Simmons

The British Journal of Dermatology

|December 1, 1986

Summary

This summary is machine-generated.

Oral lichen planus can affect the esophagus, causing painful swallowing. Systemic corticosteroids effectively treated erosive esophageal lichen planus in a patient.

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Area of Science:

Gastroenterology
Dermatology
Otolaryngology

Background:

Oral lichen planus is a chronic inflammatory condition.
It can rarely involve the gastrointestinal tract, particularly the esophagus.
Dysphagia indicates potential esophageal involvement.

Observation:

A 50-year-old woman presented with severe oral lichen planus and painful dysphagia.
Fiberoptic endoscopy was performed to investigate the dysphagia.
Endoscopy revealed erosive lichen planus of the esophagus.

Findings:

The patient's esophageal symptoms were directly attributed to erosive lichen planus.
Treatment with systemic corticosteroids led to symptom resolution.
This confirms the efficacy of corticosteroids in managing esophageal lichen planus.

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Implications:

Highlights the importance of considering esophageal involvement in oral lichen planus patients with dysphagia.
Suggests systemic corticosteroids as a viable treatment option for esophageal lichen planus.
Underscores the need for multidisciplinary management involving dermatology and gastroenterology.