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A 51-year-old man presented to our gastroenterology clinic complaining of bloating and belching. His medical history was significant for diabetes mellitus and thyroidectomy for papillary thyroid cancer. He reported occasional heartburn but denied any abdominal pain, change in bowel habits, weight loss or family history of malignancy. One of his children had autism. Physical examination was noted for asymptomatic skin-coloured lesions over the feet (figure 1A) but was otherwise negative. Upper gastrointestinal endoscopy showed numerous whitish plaques in the oesophagus (figure 1B), along with multiple small polyps in the stomach (figure 1C) and …
TN and LH are joint first authors.
TN and LH contributed equally.
Contributors TN and LH contributed to acquisition of data; analysis and interpretation of data; drafting of the manuscript. KAB contributed to study concept and design; drafting of the manuscript and critical review of the manuscript.
Funding The authors have not declared a specific grant for this research from any funding agency in the public, commercial or not-for-profit sectors.
Competing interests None declared.
Provenance and peer review Not commissioned; externally peer reviewed.
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