title: Hereditary Hemorrhagic Telangiectasia with Unusual Associations.
abstract: We describe a report of an elderly lady who was hospitalized with progressive worsening of breathlessness and fatigue of one month's duration. Clinical evaluation of the patient revealed hereditary hemorrhagic telangiectasia, interstitial lung disease, pulmonary hypertension without left heart failure, and bilateral gluteal calcinosis cutis. Initially, CREST (calcinosis, Raynaud's phenomenon, esophageal dysmotility, sclerodactyly, and telangiectasia) syndrome was considered in view of the telangiectasia and calcinosis cutis, but a strong autosomal inheritance pattern and endoscopies (nasal and upper gastrointestinal) favored a diagnosis of hereditary hemorrhagic telangiectasia with rare associations.
authors.affiliation: Department of General Medicine, Indira Gandhi Medical College & Research Institute.
authors.forename: Dheeraj
authors.initials: D
authors.lastname: Jain
authors.affiliation: Department of General Medicine, Indira Gandhi Medical College & Research Institute.
authors.forename: Stalin
authors.initials: S
authors.lastname: Viswanathan
authors.affiliation: Department of Cardiology, JIPMER.
authors.forename: Chandramohan
authors.initials: C
authors.lastname: Ramasamy
keywords: calcinosis cutis; hereditary hemorrhagic telangiectasia; interstitial lung disease; pulmonary hypertension