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A 39 year old male who was a chronic user of non-steroidal analgesics, alcohol, and tobacco presented with recurrent haematemesis. He was haemodynamically stable but pale and tender in the epigastrium. No other abnormalities were noted.
Haematological evaluation confirmed iron deficiency anaemia. Total protein and albumin were 47 g/dl and 21 g/dl, respectively. Gastroscopy and barium meal findings are shown in fig 1A and 1B, respectively.
What is the diagnosis and how does it usually present?
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