Hereditary Hemorrhagic Telangectasia | Genodermatoses
Author: Dr Shaheen Naveed - Aga Khan University Hospital - Karachi
A 40 year old male presents to his primary care physician with a history of recurrent nosebleeds since childhood. He also reports occasional episodes of blood in his saliva when brushing his teeth.He has not experienced any significant dental issues or trauma, and he uses a soft-bristle toothbrush . Upon examination, patient has telangiectases on his lips, face and tongue. He also has small, red spots on his legs, which blanch upon pressure.His systemic examination was unremarkable and he denies any use of anticoagulants or over-the-counter blood thinners.
