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From the question on page 1103

The patient has significant arterio-venous shunting as part of hereditary haemorrhagic telangiectasia (HTT).

HHT, or Rendu–Osler–Weber disease, is a genetic disease with an autosomal dominant pattern of inheritance. It is characterised by widespread mucocutaneous telangiectasia commonly involving the skin, lips, tongue and …

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