Evidence map›Paper›PMID 39788978›Full record

ReviewNature reviews. Disease primers2025

Hereditary haemorrhagic telangiectasia.

Ruben Hermann, Claire L Shovlin, Raj S Kasthuri, Marcelo Serra, Omer F Eker, Sabine Bailly, Elisabetta Buscarini, Sophie Dupuis-Girod

Abstract readReview
PubMed Publisher
In one paragraph

Review in Nature reviews. Disease primers, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 27 papers.

0numbers the graph read from it
0cells of the map it votes in
27citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

27 citing papers in PubMed.

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  14. Living with PCOS: A Narrative of its Biology, Diagnosis, and Evolving Treatment.Endocrine, metabolic & immune disorders drug targets · 2026
    Review
  15. What's new in hereditary hemorrhagic telangiectasia?Hematology. American Society of Hematology. Education Program · 2025
    Review
  16. Article
  17. Review
  18. Article
  19. Article
  20. Review
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

8 authors.

Ruben HermannENT department, Hôpital E Herriot, Hospices Civils de Lyon, Lyon, France.ORCID http://orcid.org/0000-0002-1920-6450
Claire L ShovlinNational Heart and Lung Institute, Imperial College London, London, UK.ORCID http://orcid.org/0000-0001-9007-5775
Raj S KasthuriDivision of Hematology, University of North Carolina at Chapel Hill, Chapel Hill, NC, USA.ORCID http://orcid.org/0000-0001-6672-3082
Marcelo SerraInternal Medicine department, HHT Unit, Hospital Italiano de Buenos Aires, Buenos Aires, Argentina.
Omer F EkerDepartment of Neuroradiology, Hôpital Pierre Wertheimer, Hospices Civils de Lyon, Bron, France.
Sabine BaillyBiosanté Unit U1292, Grenoble Alpes University, INSERM, CEA, Grenoble, France.
Elisabetta BuscariniEuropean Reference Network for Rare Multisystemic Vascular Disease (VASCERN), HHT Rare Disease Working Group, Paris, France.
Sophie Dupuis-GirodEuropean Reference Network for Rare Multisystemic Vascular Disease (VASCERN), HHT Rare Disease Working Group, Paris, France. sophie.dupuis-girod@chu-lyon.fr.ORCID http://orcid.org/0000-0002-8834-5526

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Hereditary haemorrhagic telangiectasia (HHT) is a vascular dysplasia inherited as an autosomal dominant trait and caused by loss-of-function pathogenic variants in genes encoding proteins of the BMP signalling pathway. Up to 90% of disease-causal variants are observed in ENG and ACVRL1, with SMAD4 and GDF2 less frequently responsible for HHT. In adults, the most frequent HHT manifestations relate to iron deficiency and anaemia owing to recurrent epistaxis (nosebleeds) or bleeding from gastrointestinal telangiectases. Arteriovenous malformations (AVMs) in the lungs, liver and the central nervous system cause additional major complications and often complex symptoms, primarily due to vascular shunting, which is right-to-left through pulmonary AVMs (causing ischaemic stroke or cerebral abscess) and left-to-right through systemic AVMs (causing high cardiac output). Children usually experience isolated epistaxis; in rare cases, childhood complications occur from large AVMs in the lungs or central nervous system. Management goals encompass control of epistaxis and intestinal bleeding from telangiectases, screening for and treatment of iron deficiency (with or without anaemia) and AVMs, genetic counselling and evaluation of at-risk family members. Novel therapeutics, such as systemic antiangiogenic therapies, are actively being investigated. Although HHT is associated with increased morbidity, the appropriate screening and treatment of visceral AVMs, and the effective management of bleeding and anaemia, improves quality of life and overall survival.

Indexed as

Telangiectasia, Hereditary HemorrhagicActivin Receptors, Type IIAnemia, Iron-DeficiencyArteriovenous MalformationsEndoglinEpistaxisGrowth Differentiation Factor 2HumansSmad4 ProteinActivin Receptors, Type IIACVRL1 protein, humanEndoglinENG protein, humanGDF2 protein, humanGrowth Differentiation Factor 2Smad4 ProteinSMAD4 protein, human

Identifiers

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.