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Unusual presentation of more common disease/injury
Case report
No lesion? No problem: case of oesophageal lichen planus in a patient without any cutaneous lesions
  1. Tamoore Arshad1,
  2. Katarina Fleckenstein2,
  3. Nitin Sardana3 and
  4. Peter L Scudera3
  1. 1Internal Medicine, Inova Fairfax Medical Campus, Falls Church, Virginia, USA
  2. 2Internal Medicine, Virginia Commonwealth University School of Medicine, Falls Church, Virginia, USA
  3. 3Gastroenterology, Gastroenterology Associates of Northern Virginia, Fairfax, Virginia, USA
  1. Correspondence to Dr Tamoore Arshad; tamoore.arshad{at}inova.org

Abstract

Oesophageal lichen planus (ELP) is an uncommon presentation of mucocutaneous lichen planus. Due to its rare nature, it can often be misdiagnosed. As such, there can be a significant delay between symptom onset and diagnosis. ELP drastically reduces quality of life secondary to the severe dysphagia and odynophagia that typically accompany this pathogenesis. Additionally, it is important to diagnose ELP in a timely manner as ELP increases the risk of squamous cell carcinoma, with reported cases of malignant transformation. More research is needed on ELP with regard to diagnostic criteria and evidence-based therapeutic recommendations.

  • endoscopy
  • oesophagus
  • gastroenterology

https://doi.org/10.1136/bcr-2019-232375

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    Footnotes

    • Contributors TA and KF drafted and edited the manuscript. TA and KF contributed equally to this paper. NS and PLS provided and cared for the patient. NS and PLS edited the manuscript.

    • Funding The authors have not declared a specific grant for this research from any funding agency in the public, commercial or not-for-profit sectors.

    • Competing interests None declared.

    • Patient consent for publication Obtained.

    • Provenance and peer review Not commissioned; externally peer reviewed.