Abstract
Question: A 57-year-old man developed progressively plum colored per-rectal bleeding over 24 hours with a decrease in hemoglobin from 84 g/L to 43 g/L. His medical history included primary myelofibrosis, for which he had a matched unrelated donor allogenic hematopoietic stem cell transplantation (SCT) with antithymocyte globulin conditioning 6 months before this presentation. After his SCT, he was discharged on ciclosporin and prednisolone for biopsy-proven cutaneous graft-versus-host disease.
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