Table of Contents Author Guidelines Submit a Manuscript
Case Reports in Gastrointestinal Medicine
Volume 2017, Article ID 5480562, 4 pages
https://doi.org/10.1155/2017/5480562
Case Report

Esophageal Lichen Planus: Understanding a Potentially Severe Stricturing Disease

1Department of Gastroenterology, Allegheny Health Network, Pittsburgh, PA, USA
2Allegheny Center for Digestive Health, 1307 Federal Street, Suite 301, Pittsburgh, PA 15212, USA
3Department of Surgery, Allegheny Health Network, Pittsburgh, PA, USA
4Esophageal and Lung Institute, 4815 Liberty Avenue, Mellon Pavilion, Suite 158, Pittsburgh, PA 15224, USA

Correspondence should be addressed to Bharat Rao; moc.liamg@oarktarahb

Received 6 June 2017; Revised 20 August 2017; Accepted 30 August 2017; Published 4 October 2017

Academic Editor: Tetsuo Hirata

Copyright © 2017 Bharat Rao et al. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

Abstract

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.