Balza O Ramírez, García-Guereta L, Vidal M D Rubio, Marín M J del Cerro, Pajares M Parrón
Centro de Salud Las Matas, Madrid, España.
An Pediatr (Barc). 2010 Nov;73(5):272-6. doi: 10.1016/j.anpedi.2010.06.007. Epub 2010 Sep 1.
Hereditary haemorrhagic telangiectasia or Rendu-Osler-Weber syndrome is a rare genetic autosomic dominant disorder with an estimated prevalence of one in 3000-5000 individuals. This multisystemic vascular dysplasia is determined by the mutation of two main genes which are endoglin (ENG) or HHT1 and ALK1 or HHT2. These mutations induce the vascular disorders which cause recurrent epistaxis and eventually multiple telangiectasias and arteriovenous visceral malformations (AVM). We report the case of an 11-year-old boy who developed severe hypoxaemia due to multiple pulmonary arteriovenous malformations.
遗传性出血性毛细血管扩张症或朗杜-奥斯勒-韦伯综合征是一种罕见的常染色体显性遗传病,估计患病率为3000至5000人中有1人。这种多系统血管发育异常由两个主要基因的突变决定,即内皮糖蛋白(ENG)或HHT1以及激活素受体样激酶1(ALK1)或HHT2。这些突变引发血管疾病,导致反复鼻出血,最终出现多发性毛细血管扩张和内脏动静脉畸形(AVM)。我们报告了一名11岁男孩的病例,该男孩因多发性肺动静脉畸形出现严重低氧血症。