Hereditary haemorrhagic telangiectasia: an overview from an ear, nose and throat perspective

Richard J. Green (Lead / Corresponding author), Andrew C. Swift

    Research output: Contribution to journalReview articlepeer-review


    Patients with hereditary haemorrhagic telangiectasia can present with a multitude of symptoms caused by telangiectasia and arteriovenous malformations in the nose, brain, gastrointestinal tract, liver and spinal cord. Clinicians should be aware of the potential diagnosis of hereditary haemorrhagic telangiectasia and how to manage these patients both in the acute and chronic setting. Identifying these patients and optimising their management can help reverse the reduced life expectancy back to that of the normal population. The management of these patients is complex and often requires a multidisciplinary approach, with difficult discussions to be had around screening for arteriovenous malformations and genetic testing. The stepwise management ladder can be used in both the medical and surgical strategies; there are multiple pharmacological and surgical options available, all with their own side effects and risks. Patient education is key to help informed decision making. This article outlines the clinical characteristics of the disease and management options available.

    Original languageEnglish
    Pages (from-to)1-9
    Number of pages9
    JournalBritish Journal of Hospital Medicine
    Issue number11
    Early online date23 Nov 2021
    Publication statusPublished - Nov 2021


    • Arteriovenous Malformations/diagnosis
    • Epistaxis/etiology
    • Genetic Testing
    • Humans
    • Nose
    • Telangiectasia, Hereditary Hemorrhagic/diagnosis


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