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Erosive mucosal lichen planus and secondary epiphora responding to systemic cyclosporin A treatment
Author(s) -
Boyce Aaron E,
Marshman Gillian,
Mills Richard AD
Publication year - 2009
Publication title -
australasian journal of dermatology
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.67
H-Index - 53
eISSN - 1440-0960
pISSN - 0004-8380
DOI - 10.1111/j.1440-0960.2009.00536.x
Subject(s) - medicine , nasolacrimal duct , dermatology , mucosal lesions , sex organ , mucous membrane , pathology , surgery , genetics , biology
Erosive mucosal lichen planus (LP) is a well‐established variant of LP characterized by the formation of ulcerative lesions predominantly involving the oral and genital mucosae. Less commonly, this condition may involve oesophageal and/or ocular mucosal surfaces, and case reports within the ophthalmology literature have recently confirmed the potential for this condition to affect the nasolacrimal ducts. We report the case of a woman with severe cicatrizing mucosal LP and ocular symptoms secondary to presumed nasolacrimal duct involvement. We also report the potential for this newly appreciated manifestation of LP to respond to systemic cyclosporin A.