PMC5216140_01
The major clinical features of dyskeratosis congenita. (A) Nail dystrophy, (B) skin pigmentation, and (C) leukoplakia.
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A physical examination showed nail dystrophy, skin pigmentation, and leukoplakia, which are major clinical features of DC (Fig. 1).
The upper endoscopy findings. (A) Multiple angioectasia with oozing in the second part of the duodenum. (B) Double balloon endoscopy showed mucosal edema, friability, hyperemia, and diffuse bleeding due to multiple angioectasia in the jejunum. (C) Argon plasma coagulation was used to treat the bleeding due to angioectasia.
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Upper endoscopy demonstrated multiple angioectasia with oozing from the antrum and the second part of the duodenum (Fig. 2A). In addition, double balloon endoscopy demonstrated mucosal edema, friability, hyperemia, and diffuse bleeding from multiple angioectasia in the jejunum (Fig. 2B). Consequently, we performed as much argon plasma coagulation as possible (Fig. 2C).