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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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