An unusual cause of upper gastrointestinal haemorrhage

Spiller, Robin; de Palma, G. D.; Rega, M.; Ciamrarra, P.; Masone, S.; Persico, G.
March 2005
Gut;Mar2005, Vol. 54 Issue 3, p343
Academic Journal
The article presents the editor's quiz related to an unusual cause of upper gastrointestinal hemorrhage. A 59 year old man presented with melena. There was no history of iron-steroidal anti-inflammatory drug use, peptic ulcer, or chronic liver disease. He had a history of iron deficiency anaemia for the past five years that required oral iron supplements intermittently. Previous oesophagogastro-duodenoscopy and colonoscopy were negative. Physical examination disclosed bluish vascular lesions on the upper trunk and undersurface of the tongue.


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