ArticleCureus2025
From Epistaxis to Embolization: A Case of Hereditary Hemorrhagic Telangiectasia Presenting With Spontaneous Hemothorax.
Article in Cureus, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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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.
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2 authors.
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Abstract
Hereditary hemorrhagic telangiectasia (HHT), or Rendu-Osler-Weber syndrome, is a rare autosomal dominant disorder characterized by mucocutaneous telangiectasias and visceral arteriovenous malformations (AVMs). We report a case of a 58-year-old female who presented with acute dyspnea and right-sided pleuritic chest pain. Her history included recurrent epistaxis since childhood and a positive family history of similar symptoms. Imaging revealed a right-sided hemorrhagic pleural effusion and pulmonary arteriovenous malformations (PAVMs), confirmed by CT pulmonary angiography and bubble contrast echocardiography. She underwent intercostal drainage followed by coil embolization of two large AVMs, with subsequent Amplatzer plug embolization on the contralateral side. Based on the Curacao criteria, a diagnosis of definite HHT was established. This case highlights hemothorax as a rare but potentially life-threatening initial manifestation of HHT. Early recognition, appropriate imaging, and timely embolization are essential to prevent recurrence and complications in patients with undiagnosed HHT presenting with pulmonary symptoms.
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