Diagnosis and treatment of an oesophageal stricture due to lichen planus

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Abstract
Involvement of the oral mucous membranes occurs commonly in lichen planus. Oesophageal involvement is less common and may result in pain, dysphagia and strictures. We present a case of an oesophageal stricture in a patient with lichen planus. A 44-year-old woman with a 24 year history of oral lichen planus and a 9 year history of anogenital involvement gave a 2 year history of dysphagia. An endoscopy performed when she first noticed dysphagia showed oropharyngeal ulceration and the pharynx was narrowed with a friable mucosa. A further endoscopy in December 1990 showed an ulcerated nasopharynx but no abnormality in the oesophagus.

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