Patient
- 55-year-old female.
Presentation
- Progressive dysphagia for solid foods for 6 months.
- Oral lichen planus treated with steroids for five years.
- No history supporting other causes of dysphagia (Reflux- corrosives – Drug induced).
Investigations
- Barium swallow: showed a long segment benign stricture of the upper thoracic esophagus.
- Endoscopy : showed narrowing of upper thoracic esophagus and mucosal erosions proximal to the stricture.
- Histopathology: Lymphocytic inflammatory infilterate.
Diagnosis
Esophageal lichen planus.
Management
Esophageal dilatation using endoscpe.
Tips
- Female patients with oral LP should be questioned about symptoms related to esophageal involvement and examined for other mucosal lesions.
- Esophageal involvement usually affects the upper and mid mid-esophagus, while reflux esophagitis mainly affects the gastroesophageal junction.
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References:
- Madhusudhan, K. S., & Sharma, R. (2008). Esophageal lichen planus: a case report and review of literature. Indian journal of dermatology, 53(1), 26.
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