Esophageal Lichen Planus: Understanding a Potentially Severe Stricturing Disease
A 67-year-old woman with a long-standing history of recurrent dysphagia and esophageal strictures failed to respond to aggressive antireflux management. She required multiple dilations for symptomatic strictures that were discovered throughout the esophagus. Intralesional, topical, and systemic gluc...
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| Format: | Article |
| Language: | English |
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Wiley
2017-01-01
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| Series: | Case Reports in Gastrointestinal Medicine |
| Online Access: | http://dx.doi.org/10.1155/2017/5480562 |
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| author | Bharat Rao Abhishek Gulati Blair Jobe Shyam Thakkar |
| author_facet | Bharat Rao Abhishek Gulati Blair Jobe Shyam Thakkar |
| author_sort | Bharat Rao |
| collection | DOAJ |
| description | A 67-year-old woman with a long-standing history of recurrent dysphagia and esophageal strictures failed to respond to aggressive antireflux management. She required multiple dilations for symptomatic strictures that were discovered throughout the esophagus. Intralesional, topical, and systemic glucocorticoid therapies were utilized without resolution in symptoms. Several years after initial presentation, histopathology ultimately demonstrated lichenoid features and a diagnosis of esophageal lichen planus (ELP) was confirmed. However, as her symptoms had already become significantly disabling with severe strictures that carried an increased risk of endoscopic complications with dilation, she ultimately decided to undergo an esophagectomy for definitive treatment. Moreover, ELP may often go unrecognized for several years. Clinicians should consider ELP in the differential for dysphagia in middle- to elderly-aged women with or without a known history of lichen planus (LP) especially for those with findings of multiple or proximal strictures. |
| format | Article |
| id | doaj-art-9b68354c562b4124b66c526572140d6c |
| institution | Kabale University |
| issn | 2090-6528 2090-6536 |
| language | English |
| publishDate | 2017-01-01 |
| publisher | Wiley |
| record_format | Article |
| series | Case Reports in Gastrointestinal Medicine |
| spelling | doaj-art-9b68354c562b4124b66c526572140d6c2025-02-03T05:59:35ZengWileyCase Reports in Gastrointestinal Medicine2090-65282090-65362017-01-01201710.1155/2017/54805625480562Esophageal Lichen Planus: Understanding a Potentially Severe Stricturing DiseaseBharat Rao0Abhishek Gulati1Blair Jobe2Shyam Thakkar3Department of Gastroenterology, Allegheny Health Network, Pittsburgh, PA, USADepartment of Gastroenterology, Allegheny Health Network, Pittsburgh, PA, USADepartment of Surgery, Allegheny Health Network, Pittsburgh, PA, USADepartment of Gastroenterology, Allegheny Health Network, Pittsburgh, PA, USAA 67-year-old woman with a long-standing history of recurrent dysphagia and esophageal strictures failed to respond to aggressive antireflux management. She required multiple dilations for symptomatic strictures that were discovered throughout the esophagus. Intralesional, topical, and systemic glucocorticoid therapies were utilized without resolution in symptoms. Several years after initial presentation, histopathology ultimately demonstrated lichenoid features and a diagnosis of esophageal lichen planus (ELP) was confirmed. However, as her symptoms had already become significantly disabling with severe strictures that carried an increased risk of endoscopic complications with dilation, she ultimately decided to undergo an esophagectomy for definitive treatment. Moreover, ELP may often go unrecognized for several years. Clinicians should consider ELP in the differential for dysphagia in middle- to elderly-aged women with or without a known history of lichen planus (LP) especially for those with findings of multiple or proximal strictures.http://dx.doi.org/10.1155/2017/5480562 |
| spellingShingle | Bharat Rao Abhishek Gulati Blair Jobe Shyam Thakkar Esophageal Lichen Planus: Understanding a Potentially Severe Stricturing Disease Case Reports in Gastrointestinal Medicine |
| title | Esophageal Lichen Planus: Understanding a Potentially Severe Stricturing Disease |
| title_full | Esophageal Lichen Planus: Understanding a Potentially Severe Stricturing Disease |
| title_fullStr | Esophageal Lichen Planus: Understanding a Potentially Severe Stricturing Disease |
| title_full_unstemmed | Esophageal Lichen Planus: Understanding a Potentially Severe Stricturing Disease |
| title_short | Esophageal Lichen Planus: Understanding a Potentially Severe Stricturing Disease |
| title_sort | esophageal lichen planus understanding a potentially severe stricturing disease |
| url | http://dx.doi.org/10.1155/2017/5480562 |
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