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The colonoscopy showed multiple ulcerations separated by normal mucosa involving the ileocaecal valve (fig 1) and ascending colon (fig 2). These endoscopic lesions may be seen in Crohn’s disease, tuberculosis, amyloidosis, infectious disease, etc.

Histological examination showed amyloid deposits with Congo red staining (fig 3), and characterised by apple-green colour when viewed with a polarised microscope (fig 4). …

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