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An unusual case of gastric erosions
  1. D K Jothimani1,
  2. U Zanetto2,
  3. R J Owen3,
  4. A J Lawson3,
  5. P G Wilson1
  1. 1
    Department of Gastroenterology, City Hospital, Sandwell and West Birmingham NHS Trust, Birmingham, UK
  2. 2
    Department of Histopathology, City Hospital, Sandwell and West Birmingham NHS Trust, Birmingham, UK
  3. 3
    Department of Gastrointestinal, Emerging and Zoonotic Infections. Health Protection Agency Centre for Infections, London, UK
  1. Correspondence to Dr U Zanetto, City Hospital, Sandwell and West Birmingham NHS Trust, Dudley Road, Birmingham B18 7QH, UK; ulises.zanetto{at}swbh.nhs.uk

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Clinical presentation

A 37-year old Caucasian woman was referred by her general practitioner for a gastroscopy with a 4 week history of dyspepsia and dysphagia to solids and liquid. There was no history of vomiting or weight loss, nor of aspirin, non-steroidal drugs or excess alcohol intake. She lives with her male partner and a child. There was no significant medical history. Gastroscopy showed a normal oesophagus and four small punched-out erosions with raised edges in the gastric antrum (fig 1). The duodenum was …

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