Kirsch M
University of MEDNET Mentor, Ohio, USA.
J Clin Gastroenterol. 1995 Mar;20(2):145-6. doi: 10.1097/00004836-199503000-00016.
Esophageal lichen planus (ELP), an infrequent cause of dysphagia, is associated with various mucosal lesions of the proximal esophagus. In a patient with oral lichen planus, with dysphagia and proximal esophageal lesions, the correct diagnosis of ELP was delayed for 10 years after dysphagia first occurred. This case report illustrates how the diagnosis of ELP in a symptomatic patient eluded experienced clinicians, even in the presence of oral lichen planus.
食管扁平苔藓（ELP）是吞咽困难的罕见原因，与近端食管的各种黏膜病变有关。在一名患有口腔扁平苔藓、伴有吞咽困难和近端食管病变的患者中，ELP的正确诊断在吞咽困难首次出现后延迟了10年。本病例报告说明了即使在有口腔扁平苔藓的情况下，有症状患者的ELP诊断如何让经验丰富的临床医生感到困惑。
