, Volume 23, Issue 3, pp 331–334 | Cite as

Esophageal Lichen Planus: Case Report and Literature Review

  • Rachel Westbrook
  • Stuart Riley
Case Report


Lichen planus is an inflammatory mucocutaneous disorder that typically affects the flexor skin surfaces, mucous membranes, and genitalia. We describe a case of severe esophageal lichen planus associated with typical mucocutaneous manifestations and discuss the presentation, diagnosis, and difficulties encountered in treatment. The published literature is reviewed and treatment strategies described.


Esophageal Lichen planus Treatment Deglutition Deglutition disorders 


  1. 1.
    Eisen D. The evaluation of cutaneous, genital, scalp, nail, esophageal and ocular involvement in patients with oral lichen planus. Oral Surg Med Oral Pathol Oral Radiol Endod 1999;88(4):431–436.CrossRefGoogle Scholar
  2. 2.
    Dhar S, Kanwar A, Dawn G, Sehgal S. Paucity of immune complexes in skin lesions of lichen planus. Indian J Dermatol Venereol Leprol 1995;61:21–25.Google Scholar
  3. 3.
    Ukleja A, Kenneth R, DeVault, Stark M, Achem S. Lichen planus involving the oesophagus. Dig Dis Sci 2000;146(10):2292–2297.Google Scholar
  4. 4.
    Bobadilla J, van der Hulst RW, ten Kate FJ, Tytgat GN. Eosophageal lichen planus. Gastrointest Endosc 1999;50:268–271.PubMedCrossRefGoogle Scholar
  5. 5.
    Keate RF, Williams JW, Connolly SM. Lichen planus esophagitis: report of three patients treated with oral tacrolimus or intraesophageal corticosteroid injections or both. Dis Esophagus 2003;16(1):47–53.PubMedCrossRefGoogle Scholar
  6. 6.
    Calabrese C, Fabbri A, Benni M, Areni A, Scialpi C, Miglioli M, Di Febo G. Squamous cell carcinoma arising in esophageal lichen planus. Gastointest Endosc 2003;57(4):596–599.CrossRefGoogle Scholar
  7. 7.
    Al-Shihabi BM, Jackson JM. Dysphagia due to pharyngeal and oesophageal lichen planus. J Laryngol Otol 1982;96:567–571.PubMedCrossRefGoogle Scholar
  8. 8.
    Guedon C, Kuffer R, Thomine E, Lerebours E, Colin R. Stenosing lichen planus of the esophagus. Gastroenterol Clin Pathol 1982;4:267–269.Google Scholar
  9. 9.
    Lefer LG. Lichen planus of the oesophagus. Am J Dermatopathol 1982;4:267–269.PubMedGoogle Scholar
  10. 10.
    Lavignolle A, Renaut JJ, Le Bodic L. Lichen plan erosive stenosant de l’oesophage. Gastroenterol Clin Biol 1983;7:829–830.Google Scholar
  11. 11.
    Ottignon Y, Carayon P, Deschamps JP, Hirsch JP, Caille JP, Pageaut G. Stenosing lichen planus of the oesophagus: gastroesophageal reflux does not appear to be the cause! Gastroenterol Clin Biol 1983;7:830–831.PubMedGoogle Scholar
  12. 12.
    Sheehan-Dare RA, Cotteril JA, Simmons AV. Oesophageal lichen planus. Br J Dermatol 1986;115:729–730.PubMedCrossRefGoogle Scholar
  13. 13.
    Quevrin F, Simonis-Blumenfruct A, Salahin A. Lichen plan plurimuqueux et atteinte oesophagienne. Sem Hop Paris 1986;62(18):1255–1257.Google Scholar
  14. 14.
    Bousser A, Nilias G, Mosser C, Ramee M, Delambre C, Gosselin M, Chevrant-Breton J. Lichen plan et stenose oesophagienne. A propos d’un cas. Ann Derm Venereol 1986;113(10):938–939.Google Scholar
  15. 15.
    Jobard-Drobacheff C, Blanc D, Quencez E, Zultak M, Paris B, Ottignon Y, Agache P. Lichen planus of the oesophagus. Clin Exp Dermatol 1988;13:38–41.PubMedCrossRefGoogle Scholar
  16. 16.
    Leyva-Leon F, Wright AL, Wright RG, Harrington CI. Esophageal lichen planus presenting with dysphagia. Int J Dermatol 1990;29:354–355.PubMedCrossRefGoogle Scholar
  17. 17.
    Yoon RY, Sullivan SN. Esophageal lichen planus. Gastrointest Endosc 1990;36:617–619.PubMedGoogle Scholar
  18. 18.
    Holder PD, Wong WL, Pemberton J, Thompson RP, Parker SC. Diagnosis and treatment of an oesophageal stricture due to lichen planus. Br J Radiol 1992;65:451–452.PubMedGoogle Scholar
  19. 19.
    Kirsh M. Esophageal lichen planus: a forgotten diagnosis. J Clin Gastroenterol 1995;20:145–146.CrossRefGoogle Scholar
  20. 20.
    Ali A, Runzi M, Rosien U, Goebell H, Layer P. Lichen planus esophagitis with secondary candidiasis: successful combination treatment with ketokonizole and a corticosteroid. Endsocopy 1996;28:460.CrossRefGoogle Scholar
  21. 21.
    Evans AV, Darvay A, Jenkins IH, Russell-Jones R. Compartment syndrome following an insect bite. Br J Dermatol 2001;114:636–638.CrossRefGoogle Scholar
  22. 22.
    Harewood GC, Murray JA, Cameron AJ. Esophageal lichen planus: the Mayo Clinic Experience. Dis Esophagus 1999;12(4):309–311.PubMedCrossRefGoogle Scholar
  23. 23.
    Abraham SC, Ravich WJ, Anhalt GJ, Yardley JH, Wu TT. Esophageal lichen planus: case report and review of the literature. Am J Surg Pathol 2000;24(12):1678–1682.PubMedCrossRefGoogle Scholar
  24. 24.
    Menges M, Hohlock K, Pueschel W, Stallmach A. Lichen planus with oesophageal involvement. A case report and review of the literature. Digestion 2002;65(3):184–189.PubMedCrossRefGoogle Scholar
  25. 25.
    Plentz RR, Muller CC, Laenger F, Manns MP, Meier PN. Lichen planus esophagitis without skin, genital or oral mucosa involvement. Z Gastroenterol 2004;42(5):379–382.PubMedCrossRefGoogle Scholar
  26. 26.
    Reissmann A, Hahn EG, Faller G, Herold C, Schwab D. Sole treatment of lichen planus-associated esophageal stenosis with injection of corticosteroids. Gastrointest Endosc 2006;63(1):168–169.PubMedCrossRefGoogle Scholar
  27. 27.
    Souto P, Sofia C, Cabral JP, Castanheira A, Saraiva S, Telechea O, Donato A, Freitas D. Oesophgeal lichen planus. Eur J Gastroenterol Hepatol 1997;9:723–727.Google Scholar

Copyright information

© Springer Science+Business Media, LLC 2008

Authors and Affiliations

  1. 1.Department of GastroenterologyNorthern General HospitalSheffieldUK

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