Hereditary Hemorrhagic Telangiectasia. Presented by Dr. Herman Beerman and (by invitation) Dr. Harmon E. Rider.
The first patient, a 74-year-old white woman and mother of the second patient described below, had numerous admissions to The Graduate Hospital of the University of Pennsylvania for episodes of epistaxis and gastrointestinal bleeding. Her last admission to the hospital was for epistaxis in March, 1958, when she received whole blood transfusions. In general, her health has been good except for irregular episodes of epistaxis in the last 2 years. All these episodes were controlled by simple packing of the nose. The family history is shown in detail in the chart.The general appearance of the patient is good. Scattered over the palms and dorsum of the hands, face, and mucous membranes of the mouth, there are typical lesions—red, punctiform, nonelevated, with sharp margins; they are from 2 to 3 mm. in diameter. In general,
Luscombe HA, Shelley WB, Niedelman ML. PHILADELPHIA DERMATOLOGICAL SOCIETY. Arch Dermatol. 1961;83(2):347–354. doi:10.1001/archderm.1961.01580080177027
Dermatology in JAMA: Read the Latest
Customize your JAMA Network experience by selecting one or more topics from the list below.