Korean J Helicobacter Up Gastrointest Res.  2019 Dec;19(4):266-271. 10.7704/kjhugr.2019.0010.

A Case Series of Esophageal Lichen Planus: An Underdiagnosed Cause of Dysphagia

Affiliations
  • 1Department of Internal Medicine, Tufts Medical Center, Boston, MA, USA. Mahmood_madi@hotmail.com
  • 2Department of Gastroenterology, Tufts Medical Center, Boston, MA, USA.

Abstract

Lichen planus (LP) is a chronic mucocutaneous inflammatory condition that typically affects middle-aged adults. Esophageal involvement in LP is rare and underrecognized, often leading to delayed diagnosis and treatment of LP. Herein, we describe three cases of esophageal LP (ELP) in clinically symptomatic patients with endoscopic lesions in the upper to mid-esophagus. This case series suggests that ELP is be more common than was previously thought and emphasizes that clinicians should have a high index of suspicion for this diagnosis, particularly when evaluating proximal esophageal lesions in patients presenting with dysphagia. The series also highlights the successful treatment of our patients with budesonide-honey slurry.

Keyword

Lichenoid eruptions; Lichen planus; Skin diseases, papulosquamous

MeSH Terms

Adult
Deglutition Disorders*
Delayed Diagnosis
Diagnosis
Humans
Lichen Planus*
Lichenoid Eruptions
Lichens*
Skin Diseases, Papulosquamous
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