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A 77-year-old Caucasian woman was referred for investigation of microcytic anaemia. She was known to have ischaemic heart disease and aortic valve disease. The patient complained of shortness of breath and lethargy with no other gastrointestinal specific symptoms. On examination, she had a systolic murmur in her aortic area and signs of mild heart failure with few crepitations in her chest and some lower limb oedema. Abdominal examination was normal. This woman …
Competing interests None.
Patient consent Obtained.
Ethics approval The data presented in this manuscript are not part of a research study and do not need ethical approval.
Provenance and peer review Not commissioned; externally peer reviewed.
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