When Skin Lesions Signal Stroke

A 74-year-old woman presents with sudden weakness. Discover how lesions on her oral mucosa and hands point to a rare genetic cause of her Stroke.

Hereditary hemorrhagic telangiectasia


A 74-year-old woman was hospitalized with sudden-onset weakness on the left side due to an acute infarct of the right middle cerebral artery. Examination of the oral mucosa and hands demonstrated the following lesions. What is the most likely diagnosis?

What is the most likely diagnosis?

Infective endocarditis
Scleroderma
Hereditary hemorrhagic telangiectasia
Levamisole-induced vasculitis
Amyloid angiopathy

Arteriovenous Malformation, Hereditary hemorrhagic telangiectasia, Paradoxical Embolism, Stroke, Telangiectasia

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