Case report and review of esophageal lichen planus treated with fluticasone

Figure 1 Barium swallow showing barium pill (arrow) trapped in C6-C7.

Figure 2 Endoscopy image showing friable mucosa and dried blood in upper esophagus with a mild to moderate stricture at upper and mid-esophageal junction.

Figure 3 Chronic inflammatory cell infiltration of the epithelium was also present and was mainly composed of lymphocytes. A: Low power view of upper esophagus shows extensive severe keratinization, organizational disarray of cell arrangement and spongiosis of lower layer associated with inflammatory infiltration. (E, × 40); B: High power of parakeratotic cells and accumulation of keratohyaline granules in the cytoplasm of the mature keratinocytes. In this zone keratinization is mild. (HE, × 400); C: High power view of spongiosis of lower layers of squamous epithelium associated with sprinkling of lymphocytes typical of longstanding chronic inflammation. (HE, × 400).

Figure 4 Endoscopy image showing resolution of lesions in the upper esophagus post treatment.