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Lichen planus of the larynx

Published online by Cambridge University Press:  28 January 2011

C E Rennie*
Affiliation:
Department of Otolaryngology, St Mary's Hospital, London, UK
R C Dwivedi
Affiliation:
Head and Neck Unit, Royal Marsden Hospital, London, UK
A S Khan
Affiliation:
Head and Neck Unit, Royal Marsden Hospital, London, UK
N Agrawal
Affiliation:
Department of Otolaryngology – Head and Neck Surgery, Johns Hopkins University School of Medicine, Baltimore, Maryland, USA
W Ziyada
Affiliation:
Department of Otolaryngology, East Surrey Hospital, Redhill, UK
*
Address for correspondence: Miss Catherine Rennie, Department of Otolaryngology, St Mary's Hospital, London W2 1NY, UK Fax:  + 44 (0)207 886 1847 E-mail: catherine.rennie@doctors.org.uk

Abstract

Objective:

We report an extremely rare case of laryngeal lichen planus.

Method:

A case report and literature review of the aetiopathogenesis, clinical features and management of laryngeal lichen planus are presented.

Results:

A male patient presented with hoarseness and a history suggestive of squamous cell carcinoma of the larynx. However, characteristic histopathological findings demonstrated lichen planus. The patient responded very well to oral steroids, and at the time of writing had remained symptom-free for two years.

Conclusion:

This is the first English language report of laryngeal lichen planus. Lichen planus is a diagnosis of exclusion and responds well to steroids. However, patients should be followed up regularly as malignant change is known to occur.

Type
Clinical Records
Copyright
Copyright © JLO (1984) Limited 2011

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