“…These include a child with cutaneous telangiectasias who was born to two parents with HHT and who died at II da ys of age (7); a 23-month-old girl who died of massive pulmonary hemorrhage (8); a 3.5year-old boy who died from rupture of a vascular lesion of the brain (7); and a 3.5-year-old boy with recurrent attacks of hematuria (7). Some authors postul ate that lesion s of HHT arise earl y in life but do not reach sufficient size to cause symptoms until the second dec ade (6).…”