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Hereditary Hemorrhagic Telangiectasia
Charles Raybaud, MD, FRCPC
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KEY FACTS

  • Terminology

    • Imaging

      • Pathology

        • Clinical Issues

          • Diagnostic Checklist

            TERMINOLOGY

            • Abbreviations

              • Hereditary hemorrhagic telangiectasia (HHT)
            • Synonyms

              • Rendu-Osler, Rendu-Osler-Weber, Osler-Weber-Rendu syndrome
            • Definitions

              • Autosomal dominant disorder with widely distributed, multisystem angiodysplastic lesions
                • Mucocutaneous, visceral telangiectasias
                • Arteriovenous malformations (AVMs)/arteriovenous fistulas (AVFs), telangiectasias of lungs, brain, GI tract, liver

            IMAGING

            • General Features

              • CT Findings

                • MR Findings

                  • Angiographic Findings

                    • Imaging Recommendations

                      DIFFERENTIAL DIAGNOSIS

                        PATHOLOGY

                        • General Features

                          • Staging, Grading, & Classification

                            • Gross Pathologic & Surgical Features

                              • Microscopic Features

                                CLINICAL ISSUES

                                • Presentation

                                  • Demographics

                                    • Natural History & Prognosis

                                      • Treatment

                                        DIAGNOSTIC CHECKLIST

                                        • Consider

                                          • Image Interpretation Pearls

                                            Selected References

                                            1. Woodall MN et al: Cerebral vascular malformations in hereditary hemorrhagic telangiectasia. J Neurosurg. 120(1):87-92, 2014
                                            2. Chen KH et al: Brain abscess as an initial presentation in a patient of hereditary haemorrhagic telangiectasia caused by a novel ENG mutation. BMJ Case Rep. 2013, 2013
                                            3. Koubaa M et al: Actinomycotic brain abscess as the first clinical manifestation of hereditary hemorrhagic telangiectasia--case report and review of the literature. Ann Hematol. 92(8):1141-3, 2013
                                            4. Saleh M et al: Brain arteriovenous malformations in patients with hereditary hemorrhagic telangiectasia: clinical presentation and anatomical distribution. Pediatr Neurol. 49(6):445-50, 2013
                                            5. McDonald J et al: Hereditary hemorrhagic telangiectasia: an overview of diagnosis, management, and pathogenesis. Genet Med. 13(7):607-16, 2011
                                            6. Carette MF et al: Imaging of hereditary hemorrhagic telangiectasia. Cardiovasc Intervent Radiol. 32(4):745-57, 2009
                                            7. Govani FS et al: Hereditary haemorrhagic telangiectasia: a clinical and scientific review. Eur J Hum Genet. 17(7):860-71, 2009
                                            8. Giordano P et al: HHT in childhood: screening for special patients. Curr Pharm Des. 12(10):1221-5, 2006
                                            9. Krings T et al: Hereditary hemorrhagic telangiectasia in children: endovascular treatment of neurovascular malformations: results in 31 patients. Neuroradiology. 47(12):946-54, 2005
                                            10. Jaskolka J et al: Imaging of hereditary hemorrhagic telangiectasia. AJR Am J Roentgenol. 183(2):307-14, 2004
                                            11. Berg J et al: Hereditary haemorrhagic telangiectasia: a questionnaire based study to delineate the different phenotypes caused by endoglin and ALK1 mutations. J Med Genet. 40(8):585-90, 2003
                                            12. Kuwayama K et al: Central nervous system lesions associated with hereditary hemorrhagic telangiectasia--three case reports. Neurol Med Chir (Tokyo). 43(9):447-51, 2003
                                            13. Marchuk DA et al: Vascular morphogenesis: tales of two syndromes. Hum Mol Genet. 12 Spec No 1:R97-112, 2003
                                            14. Sabba C et al: Hereditary hemorrhagic teleangiectasia (Rendu-Osler-Weber disease). Minerva Cardioangiol. 50(3):221-38, 2002
                                            15. Shah RK et al: Hereditary hemorrhagic telangiectasia: a review of 76 cases. Laryngoscope. 112(5):767-73, 2002
                                            16. Byard RW et al: Osler-Weber-Rendu syndrome--pathological manifestations and autopsy considerations. J Forensic Sci. 46(3):698-701, 2001
                                            17. Dong SL et al: Brain abscess in patients with hereditary hemorrhagic telangiectasia: case report and literature review. J Emerg Med. 20(3):247-51, 2001
                                            18. Willemse RB et al: Bleeding risk of cerebrovascular malformations in hereditary hemorrhagic telangiectasia. J Neurosurg. 92(5):779-84, 2000
                                            Related Anatomy
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                                            Related Differential Diagnoses
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                                            References
                                            Tables

                                            Tables

                                            KEY FACTS

                                            • Terminology

                                              • Imaging

                                                • Pathology

                                                  • Clinical Issues

                                                    • Diagnostic Checklist

                                                      TERMINOLOGY

                                                      • Abbreviations

                                                        • Hereditary hemorrhagic telangiectasia (HHT)
                                                      • Synonyms

                                                        • Rendu-Osler, Rendu-Osler-Weber, Osler-Weber-Rendu syndrome
                                                      • Definitions

                                                        • Autosomal dominant disorder with widely distributed, multisystem angiodysplastic lesions
                                                          • Mucocutaneous, visceral telangiectasias
                                                          • Arteriovenous malformations (AVMs)/arteriovenous fistulas (AVFs), telangiectasias of lungs, brain, GI tract, liver

                                                      IMAGING

                                                      • General Features

                                                        • CT Findings

                                                          • MR Findings

                                                            • Angiographic Findings

                                                              • Imaging Recommendations

                                                                DIFFERENTIAL DIAGNOSIS

                                                                  PATHOLOGY

                                                                  • General Features

                                                                    • Staging, Grading, & Classification

                                                                      • Gross Pathologic & Surgical Features

                                                                        • Microscopic Features

                                                                          CLINICAL ISSUES

                                                                          • Presentation

                                                                            • Demographics

                                                                              • Natural History & Prognosis

                                                                                • Treatment

                                                                                  DIAGNOSTIC CHECKLIST

                                                                                  • Consider

                                                                                    • Image Interpretation Pearls

                                                                                      Selected References

                                                                                      1. Woodall MN et al: Cerebral vascular malformations in hereditary hemorrhagic telangiectasia. J Neurosurg. 120(1):87-92, 2014
                                                                                      2. Chen KH et al: Brain abscess as an initial presentation in a patient of hereditary haemorrhagic telangiectasia caused by a novel ENG mutation. BMJ Case Rep. 2013, 2013
                                                                                      3. Koubaa M et al: Actinomycotic brain abscess as the first clinical manifestation of hereditary hemorrhagic telangiectasia--case report and review of the literature. Ann Hematol. 92(8):1141-3, 2013
                                                                                      4. Saleh M et al: Brain arteriovenous malformations in patients with hereditary hemorrhagic telangiectasia: clinical presentation and anatomical distribution. Pediatr Neurol. 49(6):445-50, 2013
                                                                                      5. McDonald J et al: Hereditary hemorrhagic telangiectasia: an overview of diagnosis, management, and pathogenesis. Genet Med. 13(7):607-16, 2011
                                                                                      6. Carette MF et al: Imaging of hereditary hemorrhagic telangiectasia. Cardiovasc Intervent Radiol. 32(4):745-57, 2009
                                                                                      7. Govani FS et al: Hereditary haemorrhagic telangiectasia: a clinical and scientific review. Eur J Hum Genet. 17(7):860-71, 2009
                                                                                      8. Giordano P et al: HHT in childhood: screening for special patients. Curr Pharm Des. 12(10):1221-5, 2006
                                                                                      9. Krings T et al: Hereditary hemorrhagic telangiectasia in children: endovascular treatment of neurovascular malformations: results in 31 patients. Neuroradiology. 47(12):946-54, 2005
                                                                                      10. Jaskolka J et al: Imaging of hereditary hemorrhagic telangiectasia. AJR Am J Roentgenol. 183(2):307-14, 2004
                                                                                      11. Berg J et al: Hereditary haemorrhagic telangiectasia: a questionnaire based study to delineate the different phenotypes caused by endoglin and ALK1 mutations. J Med Genet. 40(8):585-90, 2003
                                                                                      12. Kuwayama K et al: Central nervous system lesions associated with hereditary hemorrhagic telangiectasia--three case reports. Neurol Med Chir (Tokyo). 43(9):447-51, 2003
                                                                                      13. Marchuk DA et al: Vascular morphogenesis: tales of two syndromes. Hum Mol Genet. 12 Spec No 1:R97-112, 2003
                                                                                      14. Sabba C et al: Hereditary hemorrhagic teleangiectasia (Rendu-Osler-Weber disease). Minerva Cardioangiol. 50(3):221-38, 2002
                                                                                      15. Shah RK et al: Hereditary hemorrhagic telangiectasia: a review of 76 cases. Laryngoscope. 112(5):767-73, 2002
                                                                                      16. Byard RW et al: Osler-Weber-Rendu syndrome--pathological manifestations and autopsy considerations. J Forensic Sci. 46(3):698-701, 2001
                                                                                      17. Dong SL et al: Brain abscess in patients with hereditary hemorrhagic telangiectasia: case report and literature review. J Emerg Med. 20(3):247-51, 2001
                                                                                      18. Willemse RB et al: Bleeding risk of cerebrovascular malformations in hereditary hemorrhagic telangiectasia. J Neurosurg. 92(5):779-84, 2000