clinendoКлиническая эндоскопияFilin’s Clinical endoscopy2415-7813"Global Media technology" Ltd10.31146/2415-7813-endo-67-1-41-47clinendo-207Research ArticleГАСТРОЭНТЕРОЛОГИЯGASTROENTEROLOGYАктуальные концепции диагностики и лечения красного плоского лишая пищеводаCurrent concepts of diagnosis and treatment of esophageal lichen planushttps://orcid.org/0000-0002-7385-8505ОлевскаяЕ. Р.OlevskayaE. R.noemail@neicon.ruhttps://orcid.org/0000-0003-2569-1699ДолгушинаА. И.DolgushinaA. I.noemail@neicon.ruhttps://orcid.org/0000-0001-6444-4573ХихловаА. О.KhikhlovaA. O.alina_hihlova@mail.ruГБУЗ Челябинская областная клиническая больница; ФГБОУ ВО Южно-Уральский государственный медицинский университет Министерства здравоохранения Российской ФедерацииChelyabinsk regional clinical hospital; South Ural State Medical UniversityФГБОУ ВО Южно-Уральский государственный медицинский университет Министерства здравоохранения Российской ФедерацииSouth Ural State Medical University2025240320256714147Copyright © Олевская Е.Р., Долгушина А.И., Хихлова А.О., 20252025Олевская Е.Р., Долгушина А.И., Хихлова А.О.Olevskaya E.R., Dolgushina A.I., Khikhlova A.O.Данная работа распространяется под лицензией Creative Commons Attribution 4.0.This work is licensed under a Creative Commons Attribution 4.0 License.https://clinendo.elpub.ru/jour/article/view/207

Эзофагеальная локализация красного плоского лишая (КПЛ) является редкой и наименее изученной, данные об этом заболевании в литературе представлены в основном в виде клинических наблюдений и анализа серий случаев. Типичные клинические проявления включают в себя дисфагию и одинофагию. КПЛ может быть связан с серьезными осложнениями - стенозом и плоскоклеточным раком пищевода. Эндоскопическое исследование позволяет выявить в пищеводе характерные признаки: отек, глубокую эксфолиацию слизистой оболочки, часто с налетом фибрина, на фоне которых формируются мембраны и стриктуры. Наиболее специфичным гистологическим признаком является наличие апоптотических телец Сиватта. Рекомендации по терапии КПЛ пищевода ограничены результатами серий клинических наблюдений и включают назначение системных кортикостероидов, нестероидных иммуносупрессоров. Наименее изучена проблема поддерживающей терапии.

Esophageal lichen planus (ELP) is rare and the least studied, data on this disease in the literature are presented mainly in the form of clinical observations and analysis of series of cases. Typical clinical manifestations include dysphagia and odinophagia. ELP can be associated with serious complications: stenosis and esophageal squamous cell carcinoma. Endoscopic examination reveals characteristic signs in the esophagus: swelling, thickening and increased vulnerability of the mucosa, often with fibrin, formation of membranes and strictures. The most specific histological sign is the presence of apoptotic Civatte bodies. Recommendations for the treatment of ELP are limited to the results of a series of clinical observations and include the prescription of systemic corticosteroids, noncorticosteroid immunosuppressant medications. The issue of supportive therapy is the least studied.

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The authors declare that there are no conflicts of interest present.