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Lichen planus of the oesophagus
Author(s) -
JOBARDDROBACHEFF C.,
BLANC D.,
QUENCEZ E.,
ZULTAK M.,
PARIS B.,
OTTIG Y.,
AGACHE P.
Publication year - 1988
Publication title -
clinical and experimental dermatology
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.587
H-Index - 78
eISSN - 1365-2230
pISSN - 0307-6938
DOI - 10.1111/j.1365-2230.1988.tb00648.x
Subject(s) - medicine , dapsone , stenosis , mucosal lesions , dermatology , buccal mucosa , buccal administration , etretinate , surgery , gastroenterology , oral cavity , dentistry , psoriasis
Summary Mucosal lesions in lichen planus (LP) involve mostly mouth and genitals. Extension to oesophagus resulting in stenosis is exceptional (only eight cases have been reported so far). We describe two such cases and recall the clinical findings required to correlate an oesophageal stenosis to LP: age and sex status, associated mucosal LP lesions, location on the upper third of the oesophagus, histological features, flare‐up of buccal lesions following dilatation. Systemic steroids are regarded as the best treatment in the case of oesophageal stenosis due to LP, the efficacy of etretinate is limited, and dilatations should be avoided. Dapsone proved to be efficient in severe erosive buccal LP, and could be considered as a valuable therapeutic alternative.