Hospital Universitario Virgen de la Victoria, Malaga, Spain
N Engl J Med. 2015 Sep 24;373(13):e15. doi: 10.1056/NEJMicm1414035.
A 58-year-old woman presented with intermittent passage of bright red blood from the rectum, progressive fatigue, and dyspnea. Examination revealed telangiectasias on the labial mucosa and nail folds. Her mother was reported to have frequent epistaxis and similar skin lesions.
一位 58 岁女性因直肠间歇性排出鲜红色血液、进行性疲劳和呼吸困难而就诊。检查发现唇黏膜和甲褶上有毛细血管扩张。据报告,其母亲经常鼻出血,并有类似的皮肤损伤。