The images showing here are tiny multiple, telangiectatic vessels 1 mm. across the duodenum Jejuno and ileum. This 62-year-old lady has suffered of ferropenic anemia during 10 years. Her average hemoglobin has been of 10.3 gr/dl, Fecal Occult Blood Test was positive multiple times the enteroscopy shows multiple tiny 1 mm. vascular lesions Hereditary hemorrhagic telangiectasia (HHT) is a genetic condition associated with vascular malformations throughout the body. HHT patients commonly present with recurrent gastrointestinal bleeding and iron-deficiency anemia. Gastrointestinal involvement in HHT is common. Telangiectasias, the typical vascular anomaly in this disease, appear in the intestinal mucosa as an irregular distribution of red macules that have been reported to range in size from 1 to 10 mm in diameter
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