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A 60-year-old woman presented with dysphagia and weight loss. Medical history was significant for oral and vulval lichen planus. Barium swallow and CT scanning revealed no abnormality. Oesophago-gastro-duodenoscopy demonstrated an ulcerated stricture in the upper oesophagus, 25 cm from the incisors (figure 1), with friable, exfoliating mucosa. Biopsies revealed chronic ulceration, degeneration of the basal epithelium, a dense junctional lymphocytic infiltrate and Civatte bodies (figure 2).
What abnormality is seen in the endoscopic image and histology slide? How is this condition managed?
A diagnosis of oesophageal lichen …
Contributors KS has written the manuscript and is the first and corresponding author. SH is the second author and has contributed to and critically appraised the manuscript. Neither author has any competing interests.
Funding The authors have not declared a specific grant for this research from any funding agency in the public, commercial or not-for-profit sectors.
Competing interests None declared.
Provenance and peer review Not commissioned; externally peer reviewed.
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