Carbonari Augusto Pinke Cruz, Imada Regina Rie, Nakamura Romeu, Araki Osvaldo, Cristina Kelly, Balancin Marcelo Luiz, Ibrahim Roberto El
Endoscopy Unit, Rede D'Or Hospital São Luiz - Unidade Itaim, São Paulo, SP, Brazil.
Diagnóstika, São Paulo, SP, Brazil.
Rev Assoc Med Bras (1992). 2018 Mar;64(3):214-216. doi: 10.1590/1806-9282.64.03.214.
An 82-year-old man sought our service with dysphagia and was referred for upper endoscopy with biopsies, which evidenced multiple ulcers of the esophagus and oropharinx. Histopathology confirmed the unusual diagnosis of esophageal lichen planus. The correct clinical suspicion of this disease can facilitate the diagnosis and guide specific treatment, which can drastically change the natural course of the disease.
一名82岁男性因吞咽困难前来就医,随后接受了上消化道内镜检查及活检,结果显示食管和口咽有多处溃疡。组织病理学确诊为罕见的食管扁平苔藓。对该病进行正确的临床怀疑有助于诊断并指导具体治疗,这可能会极大地改变疾病的自然病程。