Oesophageal lichen planus

We present a case of lichen planus affecting the oesophagus of an 80-year-o ld woman. Symptomatically, the lesions manifested themselves as dysphagia r equiring repeated oesophageal dilatations. The patient was unable to tolera te several conventional treatments and so pulsed methylprednisolone was giv en with some beneficial short-term effects. Due to potential for malignant change in lichen planus of the mucous membranes it is important to remember this complication and investigate patients with oesophageal symptoms.