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A 77-year-old lady was admitted with an anterior myocardial infarction. Treatment included warfarin for atrial fibrillation and steroid inhalers for asthma. Her international normalized ratio was 2.1, and thrombolysis was administered. Twelve hours following this, she was found to have a vesicular haematoma on the hard palate of her oral cavity. We feel that the combination of warfarin, thrombolysis and steroid-related mucosal atrophy resulted in this bleed (figure 1).
Competing interests None.
Patient consent Obtained.
Provenance and peer review Not commissioned; not externally peer reviewed.