Multiple Hemorrhagic Telangiectasis with Special Reference to Gastroscopic Appearance
The gastroscopic appearance of gastric telangiectasis has not been described, and a review of the literature revealed apparently only one description of the post-mortem appearance1.
The following case is reported because telangiectases of the gastric mucosa were observed gastroscopically and because the patient presented an occult anemia in which the gastroscopic examination was an important diagnostic procedure.
A white man, a sheetmetal worker 44 years of age, was first seen at the Clinic on January 9, 1939, complaining of weakness and lack of strength. The present illness had its onset in the autumn of 1927 when, over a period of a few weeks, he noticed progressive weakness, lack of strength, and increased sensitivity to cold. This episode lasted three or four months but after he consulted his family doctor, it was relieved by the use of iron for a short time. No examinations of the blood or stools were made. Following this he apparently felt well until 1932 when he had a recurrence of similar symptoms which again were relieved by the use of iron for a short period. About October, 1936, the patient had six teeth extracted without any unusual bleeding but following the extraction he felt tired, run down, and cold all the time. He consulted another doctor in November, 1936, at which time his erythrocyte count was reported to be 4,240,000 and the hemoglobin was 27 per cent. Repeated examinations of stools showed occult blood by the benzidine test. After the patient used liver extract and iron,. . .