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Hereditary Hemorrhagic Telangiectasia. Presented by Dr. John F. Madden, St. Paul.
J. B., a laborer aged 56, states that telangiectases first appeared on the face about thirty years ago. New lesions have appeared at intervals; old lesions have enlarged, but none has disappeared. At present the skin of the face, of the neck and of the upper part of the trunk and the mucous membranes of the mouth and nasal septum are involved. There are also telangiectases in the conjunctiva. The patient has had nosebleeds as often as two or three times a day since childhood. In 1929 he was treated for what was thought to be a hemorrhagic duodenal ulcer. The patient's father has had repeated nosebleeds throughout his life. Studies of the blood, including determination of the bleeding time and clotting time, fragility tests and a platelet count, gave results which were within normal limits.
A Case for
Madden JF, Lynch FW. MINNESOTA DERMATOLOGICAL SOCIETY. Arch Derm Syphilol. 1937;36(3):675–679. doi:10.1001/archderm.1937.01480030202025
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