The oesophagus in lichen planus: an endoscopic study.

Lichen planus of the esophagus: What dermatologists need to know

“…Dickens et al 19 30 suggest that symptomatic ELP occurs in less than 1% of patients with LP, asymptomatic esophageal involvement is likely to be more common than currently appreciated, and the presence of symptomatic disease appears to closely correlate with the presence of ELP on endoscopic examination. Eisen 27 evaluated 584 patients with a histopathologic diagnosis of oral LP for extraoral manifestations.…”

Influence of Treatment of Erosive Lichen Planus of the Vulva on Its Prognosis

“…The frequency of nongenital cutaneous involvement (21% [24 patients] in this study) is similar to that in other studies (9% 26 -20% 7 ). Esophageal LP is rare but well documented, 27 but to our knowledge, only 1 case of external auditory meatus involvement has been reported previously. 28 Three patients developed SCCs (1 oral and 2 anogenital), giving a prevalence of 3% in the adult study population during a mean follow-up period of 72 months.…”

Lichen planus with Oesophageal Involvement

“…With the exception of three case reports [7, 8, 17]and the series of Dickens et al [24], the reported cases give details as to therapy of the oesophageal stenoses. Two thirds of the patients were started on immunosuppressants, the majority of those received systemic steroids (52%).…”

“…Dickens et al [24]report a series of 19 consecutive lichen planus patients from a dermatologic department who underwent oesophagoscopy. In 5 (26%) of them they found mucosal lesions compatible with oesophageal lichen.…”

“…This complication is probably underestimated, since a small study in 1990 on 19 patients with OLP demonstrated that a quarter of those had oesophageal involvement [24](table 1). …”