A locus causing hereditary haemorrhagic telangiectasia (HHT) has recen
tly been mapped to 9q34 in four families and designated HHT1. In this
paper, the results of a linkage study showing genetic heterogeneity in
four families in whom HHT is segregating are reported. All the previo
usly reported 9q34 Linked families contain at least one affected membe
r with a symptomatic pulmonary arteriovenous malformation. We postulat
e that clinical heterogeneity may also be a feature of HHT with a sign
ificantly higher predisposition to symptomatic PAVMs associated with t
he HHT1 linked families.