Epistaxis

Hereditary Haemorrhagic telangiectasia (HHT):

• Autosomal dominant disease
• Resulting in arteriovenous malformation and telangiectasia
• Common cause of recurrent epistaxis (~90% of patients with HHT)
• Associated with:
• Arteriovenous malformation of brain, lungs, liver and GI tract
• Telangiectasia of fingers, face, lips, oral and nasal cavity