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An unusual cause of rectal bleeding in a young woman
  1. A Hokama1,
  2. F Kinjo1,
  3. T Makishi1,
  4. R Tomiyama1,
  5. K Kishimoto1,
  6. T Hirata1,
  7. N Kinjo1,
  8. A Saito1,
  9. K Takagi2,
  10. T Arakaki2
  1. 1First Department of Internal Medicine, University of the Ryukyus, Okinawa, Japan
  2. 2Nishinjo Hospital, Okinawa, Japan
  1. Correspondence to:
    Dr A Hokama
    First Department of Internal Medicine, University of the Ryukyus, 207 Uehara, Nishihara, Okinawa 903-0215, Japan; hokama-amed.u-ryukyu.ac.jp

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Clinical presentation

A 24 year old woman presented with bloody rectal discharge of three months’ duration. She had a medical history of herpes progenitalis and candida vaginitis. On examination, there was no tenderness in the abdomen. Routine stool culture and blood tests were negative. Colonoscopy with indigo carmine dye revealed friable and erythematous nodular mucosa in the lower rectum (fig 1).

Figure 1

 Colonoscopy with indigo carmine dye of the lower rectum.

Question

What is the diagnosis?

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Footnotes

  • Robin Spiller, Editor

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