Year 2024 / Volume 116 / Number 11
Digestive Diseases Image
Esophageal lichen planus: an unusual case of dysphagia

625-626

DOI: 10.17235/reed.2023.9572/2023

Irina Sofía Luzko Scheid, Elizabeth Barba-Orozco, José Manuel Mascaró,

Abstract
An unusual case of chronic dypshagia associated with impaired quality of life in a 73-years old patient with past medical history of tongue squamous cell carcinoma. Prior esophagogastroduodenoscopy (EGD) with formalin-fixed biopsies has demonstrated inespecific findings. A few months later, new EGD was performed and esophageal stricture with sloughed mucosa was shown. With formaline and fresh biopsies was made the diagnosis of esophageal lichen planus. With medical treatment and dilations the patient had a good outcome. This is an underdiagnostic disease that has been associated with squamous cell carcinoma and impair quality of life due to the dysphagia. Immunohistochemistry can be useful for diagnosis and fresh biopsies should be considered to increase diagnostic sensitivity.
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11/11/2024 18:36:40
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References
Ioannides D, Vakirlis E, Kemeny L, et al. European S1 guidelines on the management of lichen planus: a cooperation of the European Dermatology Forum with the European Academy of Dermatology and Venereology. J Eur Acad Dermatol Venereol. 2020;34(7):1403–14
Ravi, K., Codipilly, D. C., Sunjaya, D., et al. (2019). Esophageal Lichen Planus Is Associated With a Significant Increase in Risk of Squamous Cell Carcinoma. Clinical gastroenterology and hepatology : the official clinical practice journal of the American Gastroenterological Association, 17(9), 1902–1903.
Schauer, F., Monasterio, C., Technau-Hafsi, et al. (2019). Esophageal lichen planus: towards diagnosis of an underdiagnosed disease. Scandinavian journal of gastroenterology, 54(10), 1189–1198.
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Luzko Scheid I, Barba-Orozco E, Mascaró J. Esophageal lichen planus: an unusual case of dysphagia. 9572/2023


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Publication history

Received: 04/03/2023

Accepted: 13/03/2023

Online First: 17/03/2023

Published: 11/11/2024

Article Online First time: 13 days

Article editing time: 618 days


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