A 48-year-old woman with a medical history of biopsy-proven oral LP diagnosed 5 years earlier was presented for an evaluation of progressively increasing dysphagia for solid foods for the past 6 months. She did not have typical heartburn or regurgitation symptoms consistent with reflux disease. There was no history of corrosive injury or radiation to esophagus. She was on prednisone 5 mg/day, omeprazole 20 mg/day, and azathioprine 50 mg/day and there was not any active lesion at buccal mucosa at the time of the last visit. 
 Esophagogastroduodenoscopy (EGD) was performed, which showed proximal esophageal benign appearing stricture 20 cm from the incisors (figure 1). There was peeling of the mucosa away from the esophagus leaving a friable, inflamed surface that bled easily on contact. Since the scope could not be negotiated distally, a pediatric scope was used. It was a short segment stricture and distal gastrointestinal (GI) tract was normal. The endoscopic and clinical findings were consistent with ELP, therefore esophageal biopsy sample was not taken. Due to the severity of the symptoms, the patient underwent three sessions of wire-guided bougie dilation up to 39 Fr. (figure 2) and her symptoms improved.