Case Report
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World J Gastroenterol. Mar 14, 2013; 19(10): 1652-1656
Published online Mar 14, 2013. doi: 10.3748/wjg.v19.i10.1652
Case report and review of esophageal lichen planus treated with fluticasone
Marie Lourdes Ynson, Faripour Forouhar, Haleh Vaziri
Marie Lourdes Ynson, Department of Medicine, University of Connecticut Health Center, Farmington, CT 06030, United States
Faripour Forouhar, Department of Pathology, University of Connecticut Health Center, Farmington, CT 06030, United States
Haleh Vaziri, Department of Gastroenterology, University of Connecticut Health Center, Farmington, CT 06030, United States
Author contributions: Ynson ML, Forouhar F and Vaziri H contributed to manuscript writing and revisions.
Correspondence to: Marie Lourdes Ynson, MD, Department of Medicine, University of Connecticut Health Center, 263 Farmington Avenue, Farmington, CT 06030, United States. mynson@resident.uchc.edu
Telephone: +1-860-6796524 Fax: +1-860-6793159
Received: October 31, 2012
Revised: January 21, 2013
Accepted: January 23, 2013
Published online: March 14, 2013
Processing time: 134 Days and 10.9 Hours
Abstract

Lichen planus is a fairly common chronic idiopathic disorder of the skin, nails and mucosal surfaces. Esophageal involvement of this disease on the other hand is rare and only about 50 cases have been reported in literature. Given its rarity, it can be difficult to diagnose and may be easily misdiagnosed as reflux esophagitis. Currently, there are no clear recommendations on the optimal management of this disease and little is known about the best treatment approach. Systemic steroids are usually the first line treatment and offer a favorable response. In this report, we would like to present a novel approach in the management of esophageal lichen planus in a middle-aged woman treated successfully with swallowed fluticasone propionate 220 mcg twice a day for 6 wk, as evidenced by objective clinical findings. Based on our review of related literature and experience in this patient, we feel that a trial of swallowed fluticasone may be a prudent approach in the management of these patients since it has a more favorable side effect profile than systemic treatment.

Keywords: Lichen planus; Lichen rubra planus; Anti-inflammatory agents; Steroids; Dysphagia; Fluticasone