Images in Clinical Medicine

Hereditary Hemorrhagic Telangiectasia (Osler–Weber–Rendu Disease)

Aryel Nicoleau, M.D., and Carl A. Nicoleau, M.D., Ph.D.

N Engl J Med 1999; 340:1800June 10, 1999

• Slide

Article

Figure 1 A 67-year-old woman has multiple telangiectasias on her hands, as well as on her arms, legs, ears, lips, and nasal mucosa. She has had numerous episodes of epistaxis and gastrointestinal bleeding since her mid-20s. Endoscopic evaluation revealed multiple telangiectasias in her stomach and colon. She has a strong maternal family history of similar lesions. She is otherwise healthy and requires only iron supplements.

Aryel Nicoleau, M.D.
Carl A. Nicoleau, M.D., Ph.D.
New York Hospital Medical Center of Queens, Flushing, NY 11355