Main clinical features
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familial or isolated, reduced penetrance, more frequent in females, onset in the third or fourth decades of life, leading to right failure
therapy by oral calcium antagonists and anticoagulants, including sporadic cases
characterized by monoclonal plexiforms lesions of proliferating endothelial cells in pulmonary arteries, leading to elevated pulmonary artery pressures, right ventricular failure and death
viral infections, including HIV and Kaposi sarcoma-associated herpesvirus (KSHV), have been implicated as etiological agents in the development of PPH1, that is also reported as a complication of Castleman disease |