Case 79 – update 2

We have found out our patient has HHT.

We know she has epistaxis, and cutaneous telangectasia. She has also required courses of iron for iron deficiency, and is currently anaemic.

Patients with HHT may develop AVM and some teamhaem follower have suggested that we screen our patient for cerebral AVM and pulmonary AVM.

Where else might you develop problems? What other conditions can be associated with HHT?

What screening should patients with HHT receive?

How would you manage our patient currently?

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