AI Summary & Key Takeaways
AI InsightConclusion: Patients with Lichen planus should be evaluated for possible gastrointestinal involvement with endoscop.
📌 3 Key Takeaways
Abstract
Background/aims: Lichen planus is an inftammatory disease of the skin and mucous membranes. Oral mucosa is known to be frequently affected by the disease, but it has also been observed that gastrointestinal mucosas are sometimes involved. Methods: in this study, the upper gastrointestinal tract was investigated endoscopically and histopathologically in 20 patients with oral lichen planus. Results: Endoscopy deter-mined antral gastritis in seven patients, esophagitis in four, bulbitis in three, chronic duodenal ulcer in one and esophageal sphincter dysfunction in one patient. Lichen planus-like changes on the esophageal mucosa at histopathological exami-nation were found in one patient. Findings in the other patients were as follows: chronic atrophic gastritis (nine), helicobacter pylori infection (nine), esophagitis (two), bulbitis (two) and ero-sive gastritis (one). Conclusion: Patients with Lichen planus should be evaluated for possible gastrointestinal involvement with endoscop.
Özet
Amaç: Liken planus deri ve mukozaların kronik inflamatuar bir hastalığıdır. Oral mukoza sık tutulur. Nadiren gastrointestinal mukoza tutulumu da tanımlanmıştır. Yöntem: Çalışmamızda 20 oral liken planuslu hastada üst gastrointestinal sistem endoskopik ve histopatolojik olarak incelenmiştir. Bulgular: Endoskopik incelemede 7 hastada antral gastrit, 4 hastada özofajit, 3 hastada bulbit, 1 hastada kronik duodenal ülser ve 1 hastada alt özafageal sfinkter disfonksiyonu saptanmıştır. Histopatolojik olarak bir hastada, özofagusta liken planus benzeri değişiklikler saptanmıştır. Diğer hastaların 9'unda atrofik gastrit, 9'unda helikobakter pylori infeksiyonu, 7'sinde özofajit, 2'sinde bulbit, 1'inde eroziv gastrit saptanmıştır. Sonuç: Lichen planus olguları, gastrointestinal tutulum açısından değerlendirilmelidir