A patient evaluated for chronic iron deficiency anaemia

ABSTRACT

A middle aged patient with end stage renal failure on regular dialysis was referred for evaluation of chronic iron deficiency anaemia. Previous faecal occult blood testing had been positive four out of five times. Previous two upper gastrointestinal endoscopies had been reported as moderate to severe antral gastritis. A colonoscopy only showed grade I haemorrhoids. He had also required regular blood transfusion. A repeat endoscopy was carried out and this finding is shown in the panel above. A biopsy was also taken for histological evaluation. What is the diagnosis? Answer refer to page 70