Hereditary haemorrhagic telangiectasia (HHT)

Written and reviewed by Dr Ibrahim Imam, Consultant Neurologist. Last reviewed .

Hereditary haemorrhagic telangiectasia (HHT). HHT type 1: ENG gene mutations, HHT type 2: ACVRL1 gene mutations. Fully referenced neurology checklist.

Genetic types

  • HHT type 1: ENG gene mutations
  • HHT type 2: ACVRL1 gene mutations
  • HHT overlap: SMAD4 gene mutations

Curacao diagnostic criteria

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Arteriovenous malformations (AVMs): epidemiology

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Arteriovenous malformations (AVMs): sites

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Telangiectasias (dilated blood vessels): locations

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Haemorrhagic features

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Cerebral features

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Pulmonary features

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Magnetic resonance imaging (MRI) brain

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Graduated treatment of epistaxis

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Synonym

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References

  1. Trerotola SO, Pyeritz RE. PAVM embolization: an update. Am J Roentgenol 2010; 195:837-845.
  2. Shovlin CL, Letarte M. Hereditary hemorrhagic telangiectasia and pulmonary arteriovenous malformations: issues in clinical management and review of pathogenic mechanisms. Thorax 1999; 54:714-729.
  3. Brinjikji W, Iyer VN, Sorenson T, Lanzino G. Cerebrovascular manifestations of hereditary hemorrhagic telangiectasia. Stroke 2015; 46:3329-3337. 
  4. Faughnan ME, Mager JJ, Hetts SW, et al. Second international guidelines for the diagnosis and management of hereditary hemorrhagic telangiectasia. Ann Intern Med 2020 (Online ahead of print).
  5. van Gent MW, Velthuis S, Post MC, et al. Hereditary hemorrhagic telangiectasia: how accurate are the clinical criteria? Am J Med Genet A 2013; 161A:461-466. 
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