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Reminder of important clinical lesson
Doctor, I hear hissing sounds coming from my chest!?
  1. Laith Alrubaiy,
  2. Jonathan Sutton,
  3. Waqar Ahmed
  1. Ysbyty Gywnedd, Medicine, Bangor, LL57 2PW, UK
  1. Laith Alrubaiy, laithalrubaiy{at}

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This is a case of a 64-year-old man who was investigated for dysphagia and a single episode of haematemsis. He had five oesophagoscopic examinations that showed extensive candidiasis (fig 1). Unfortunately, there was no narrow band imaging facility on endoscopy and tumour markers were not performed as the initial impression was of a chronic peptic ulcer with stricture. Biopsies from multiple sites showed chronic inflammatory changes with …

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  • Competing interests: None.

  • Patient consent: Patient/guardian consent was obtained for publication.

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