Zamani Farhad, Haghighi Mehran, Roshani Mohammad, Sohrabi Masoudreza
Gastroenterology and Liver Disease Research Center, Iran University of Medical Sciences, Firoozgar Hospital, Tehran, Ira.
Middle East J Dig Dis. 2019 Jan;11(1):52-54. doi: 10.15171/mejdd.2018.128. Epub 2018 Nov 15.
Lichen planus is a dermatologic chronic inflammatory disease that usually involved the skin and mucosa. Esophageal lichen planus with stricture is rare presentation of this disease. It is usually associated with oral mucosal involvement and commonly presenting in middle-age female. In present case, we describe a 48-year-old woman with history of oral lichen planus who referred to us for progressive dysphagia for solid food .She had not history of other causes of dysphagia. Upper endoscopy revealed a benign stricture located in proximal of esophagus that comparable with lichen planus features. The patient underwent three sessions of wireguided bougie dilation that improved her symptoms totally. Lichen planus has to be considered in differential diagnosis in patients with dysphagia.
扁平苔藓是一种通常累及皮肤和黏膜的慢性炎症性皮肤病。伴有狭窄的食管扁平苔藓是该疾病的罕见表现。它通常与口腔黏膜受累相关，常见于中年女性。在本病例中，我们描述了一名48岁有口腔扁平苔藓病史的女性，因固体食物进行性吞咽困难前来就诊。她没有其他导致吞咽困难的病因史。上消化道内镜检查发现食管近端有一个良性狭窄，与扁平苔藓特征相符。该患者接受了三次导丝引导下的探条扩张术，症状完全改善。对于吞咽困难的患者，鉴别诊断时必须考虑扁平苔藓。
