Frederic Blanc, MD; Marie Fleury, MD; Andoni Echaniz-Laguna, MD, PhD; Sophie Giraud, MD, PhD; Jerome Szwarcberg, MD; Christine Tranchant, MD
Potential Financial Conflicts of Interest: None disclosed.
Blanc F., Fleury M., Echaniz-Laguna A., Giraud S., Szwarcberg J., Tranchant C.; A Rare Mimic of Hereditary Hemorrhagic Telangiectasia and Conjunctivitis. Ann Intern Med. 2007;146:150-151. doi: 10.7326/0003-4819-146-2-200701160-00018
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Published: Ann Intern Med. 2007;146(2):150-151.
Background: To our knowledge, no case report of arteriovenous malformation of the brain mimicking hereditary hemorrhagic telangiectasia has been described.
Objective: To describe a case of unilateral retinocephalic vascular malformation mimicking hereditary hemorrhagic telangiectasia and conjunctivitis.
Case Report: A 37-year-old male janitor with a history of spontaneous and recurrent nose bleeding episodes presented with left leg paresis that slowly progressed over 2 years. He also had a right “red eye” and subtle telangiectases on the right side of his face (Figure, A). Neurologic examination showed left hemiparesis mainly affecting the lower limb, with a left Babinski sign and symmetrical tendon reflexes. Vibration sense and pinprick sensation were preserved. Examination of the eyes showed vascular dilatation of the right bulbar conjunctiva (Figure, A). Visual acuity was normal in both eyes. According to the patient, the red eye was conjunctivitis that was present since childhood.
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