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Living with Telangiectasia, hereditary hemorrhagic, type 2

An inherited blood vessel condition that causes nosebleeds and abnormal blood vessel connections in the skin and organs.

Understanding Telangiectasia, hereditary hemorrhagic, type 2

Hereditary hemorrhagic telangiectasia (HHT) type 2 is an inherited blood vessel condition that can cause excessive bleeding.

People can develop abnormal blood vessels called arteriovenous malformations (AVMs) in several areas. On the skin they are called telangiectasias. AVMs can also form in the brain, lungs, liver, or intestines. HHT type 2 is caused by a change in the ACVRL1 gene.

Signs & symptoms

Symptoms vary from person to person. GARD lists these among the most common:

  • Repeated nosebleeds
  • Small red blood vessels on the face, lips, mouth, and palms
  • Bleeding in the gut
  • Abnormal blood vessels in the brain, lungs, or liver
  • Shortness of breath
  • Bluish skin color

Not everyone has every symptom. GARD's list comes from the Human Phenotype Ontology.

Diagnosis

  1. Talk with your doctor

    Share the symptoms you've noticed, when they started and your family health history. Notes and photos can help.

  2. See a specialist

    Your doctor may refer you to a specialist who knows rare conditions.

  3. Ask which tests can help

    Your care team will decide which exams and tests can confirm the diagnosis.

Care & treatment

Care team
A doctor familiar with rare conditions, plus specialists as needed
Expert care
Ask about multidisciplinary care centers for rare conditions
Treatment
GARD doesn't list specific treatments for this condition. Your care team will tailor care to your symptoms.
Research
Clinical trials and observational studies may be options. See the research section below.

General information, not medical advice. Your care team makes the decisions.

Everyday life

Living with a rare condition is easier with support.

  • Connect with The Aneurysm and AVM Foundation
  • Keep notes on symptoms, changes and questions for appointments
  • Ask about patient registries that help research
  • Look into financial aid and travel resources for care visits
Bring these questions to your next doctor visit
Which screening tests should I have for brain, lung, and liver AVMs?
How can I manage nosebleeds?
Would ACVRL1 gene testing help my family?

Quick facts

InheritanceAutosomal Dominant

Changes in the ACVRL1 gene cause HHT type 2. It is autosomal dominant, meaning one changed copy of the gene can cause it.

Also known as: acvrl1 hereditary hemorrhagic telangiectasia; acvrl1-related hereditary hemorrhagic telangiectasia; hereditary hemorrhagic telangiectasia caused by mutation in acvrl1; hht2; telangiectasia, hereditary hemorrhagic, type ii

Patient organizations

Source: NIH GARD · Telangiectasia, hereditary hemorrhagic, type 2GARD ID 9901 · GARD page updated September 2026 · Plain-language summary by Know Rare; editorial review pending. General information, not medical advice.

You are more than your diagnosis

Perspectives from people navigating life with Telangiectasia, hereditary hemorrhagic, type 2.

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