Hereditary hemorrhagic telangiectasia in association with generalised juvenile polyposis.

A 22-year-old lady was referred to the respirology department ofa tertiary referral hospital for further assessment of newly diagnosed pulmonary arteriovenous; malformations (AVMs) She had initially presented to a paediatric department at the age of 8 years for investigation of recurrent epistaxis and iron deficiency anaemia. Her stool was identified as being positive for faecal occult blood and following further gastrointestinal investigation, multiple polyps were discovered throughout her gastrointestinal tract (Fig. 1). Histological examination determined the polyps to be hamartomas and she was diagnosed as having generalised juvenile polyposis. She had a subtotal colectomy aged 9 years and a