The causes of upper gastrointestinal bleed are manifold with the most common being peptic ulcers and oesophageal varices. We present a rare cause of upper gastrointestinal bleeding due to Hereditary Hemorrhagic Telangiectasia presenting with hematemesis and malaena due to bleeding from telangectatic lesions in the stomach and duodenum. The patient also had typical mucosal and nail manifestations of the disease which aided in the diagnosis of the condition.
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