Abstract
Hereditary hemorrhagic telangiectasia (HHT) (Osler-Weber-Rendu syndrome) is a syndrome characterized by multiorgan telangiectases and arteriovenous malformations. A subset of patients with a mutation in the MADH4 gene on chromosome 18 exhibits an overlapping syndrome of HHT and juvenile polyposis (JPS). We present one such family. Genetic testing is warranted when either HHT or JPS is diagnosed, as early recognition of this syndrome overlap allows appropriate management of these patients.
References
Carette M-F, Nedelcu C, Tassart M et al (2009) Imaging of hereditary hemorrhagic telangiectasia. Cardiovasc Intervent Radiol 32:745–757
Guttmacher AE, Marchuk DA, White RI (1995) Hereditary hemorrhagic telangiectasia. N Engl J Med 333:918–924
Abdalla SA, Letarte M (2006) Hereditary haemorrhagic telangiectasia: current views on genetics and mechanisms of disease. J Med Genet 43:97–100
Cox KL, Frates RC, Wong A et al (1980) Hereditary generalized juvenile polyposis associated with pulmonary arteriovenous malformation. Gastroenterology 78:1566–1570
Gallione CJ, Repetto GM, Legius E et al (2004) A combined syndrome of juvenile polyposis and hereditary haemorrhagic telangiectasia associated with mutations in MADH4 (SMAD 4). Lancet 363:852–859
Gallione CJ, Richards JA, Letteboer TG et al (2006) SMAD4 mutations found in unselected HHT patients. J Med Genet 43:793–797
Aretz S, Stienen D, Uhlhaas S et al (2007) High proportion of large genomic deletions and a genotype phenotype update in 80 unrelated families with juvenile polyposis syndrome. J Med Genet 44:702–709
Chow E, Macrae F (2005) Review of juvenile polyposis syndrome. J Gastroenterol Hepatol 20:1634–1640
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An erratum to this article can be found at http://dx.doi.org/10.1007/s00247-010-1597-7
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Poletto, E.D., Trinh, A.M., Levin, T.L. et al. Hereditary hemorrhagic telangiectasia and juvenile polyposis: an overlap of syndromes. Pediatr Radiol 40, 1274–1277 (2010). https://doi.org/10.1007/s00247-009-1482-4
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DOI: https://doi.org/10.1007/s00247-009-1482-4