Esophageal lichen planus: a rare case.

Rev Esp Enferm Dig

Gastroenterology, Centro Hospitalar de Setúbal, Portugal.

Published: January 2018

AI Article Synopsis

  • - Lichen planus is a rare disease that affects the skin and mucous membranes, often showing oral lesions in about two-thirds of cases, sometimes without skin symptoms.
  • - Esophageal lichen planus is more common in middle-aged women and is usually asymptomatic, but it can lead to painful swallowing (odynophagia) and difficulty swallowing (dysphagia), as well as an increased risk for squamous cell carcinoma.
  • - The main treatment involves systemic corticosteroids, but there is a high relapse rate of about 85% after stopping the medication; a case of esophageal lichen planus in a 50-year-old man is discussed.

Article Abstract

Lichen planus is a rare, idiopathic disease that usually involves the skin and mucosae. Oral lesions occur in two thirds of cases and may occur without skin involvement. Esophageal lichen planus occur more frequently in middle-age women, it is frequently asymptomatic but may cause odynophagia and dysphagia. Esophageal lichen planus has been associated with squamous cell carcinoma. The most effective treatment is systemic corticotherapy, but relapse is expected in 85% with steroid withdrawal. We present the case of esophageal lichen planus in a 50-year-old man.

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Source
http://dx.doi.org/10.17235/reed.2017.5332/2017DOI Listing

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