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Ehlers-Danlos Syndrome

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Neurocutaneous Disorders
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Abstract

Ehlers-Danlos syndrome (EDS) is an uncommon heterogeneous group of inherited connective tissue fragility disorders. It afflicts approximately 1 in 5000 to 10,000 live births in an autosomal recessive fashion. Mutations in the COL5A1 (collagen, type V, alpha 1) and the COL5A2 gene, encoding for type V collagen and defect in the lysyl hydroxylase pathway are implicated. The disorder was recognized even during the time of Hippocrates and the first description in 1891. Clinical features primarily involve the skin, joints, blood vessels and internal organs. Secondary symptoms include fatigue, sleep disturbances, chronic pain, bowel dysfunction, haemorrhages and psychological ailments. Making the correct diagnosis is complicated because of the variability in symptomatology.

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References

  1. Tschernogobow A. Cutis Laxa (Presentation at first meeting of Moscow 1891). Dermatologic and venereology society. Monatshefte für Praktische Dermatologie. 1892;14:76.

    Google Scholar 

  2. Ehlers EL Cutis Laxa Neigung zu Hamorrhagien in der Haut, Lockering mehrerer Artikulationen. Dermatologische Zeitschrift 1901; 8: 173-174.

    Google Scholar 

  3. Danlos H. Un cas de cutis laxa avec tumeurs par contusion chronique des coudes et des genoux (xanthome juvenile pseudo-diabetique de MM Hallopeau et Mace de Lepinay). Bulletin de la Societe francaise de dermatologie et de syphili-graphie. 1908;19:70–2.

    Google Scholar 

  4. Parapia LA, Jackson C. Ehlers-Danlos syndrome-a historical review. Br J Haematol. 2008;14:32–5.

    Article  Google Scholar 

  5. Grahame R. Ehlers-Danlos syndrome. S Afr Med J. 2016;106(6 Suppl 1):S45–6.

    Article  CAS  Google Scholar 

  6. Pinnell SR, Krane SM, Kenzora JE, Glimcher MJ. A heritable disorder of connective tissue: hydroxylysine-deficient collagen disease. New Engl J Med. 1972;286:1013–20.

    Article  CAS  Google Scholar 

  7. Lichtenstein J, Nigra TP, Sussman MD, et al. Molecular defect in a form of the Ehlers-Danlos syndrome: hydroxylysine deficient collagen (abstract). Am J Hum Genet. 1972;24(6 part 1):27a.

    Google Scholar 

  8. Hakim A, De Wandele I, O'Callaghan C, et al. Chronic fatigue in Ehlers-Danlos syndrome-hypermobile type. Am J Med Genet C Semin Med Genet. 2017;175:175–80.

    Article  Google Scholar 

  9. Beighton P, De Paepe A, Steinmann B, et al. Ehlers-Danlos syndromes: revised nosology, Villefranche, 1997. Ehlers-Danlos National Foundation (USA) and Ehlers-Danlos support group (UK). Am J Med Genet. 1998;(77):31–7.

    Google Scholar 

  10. Dame C, Hauser I, Geukens J, Brenner R. Ehlers-Danlos syndrome classical type. Arch Pediatr & Adolescent Med. 2001;155:1275–6.

    Article  CAS  Google Scholar 

  11. Zweers MC, Hakim AJ, Grahame R, Schalkwijk J. Joint hypermobility syndromes: the pathophysiologic role of tenascin-X gene defects. Arthritis Rheum. 2004;50:2742–9.

    Article  CAS  Google Scholar 

  12. Malfait F, Coucje P, Symoens S, et al. The molecular basis of classic Ehlers-Danlos syndrome: a comprehensive study of biochemical and molecular findings in unrelated patients. Hum Mutat. 2005;25:28–37.

    Article  CAS  Google Scholar 

  13. Sobey G. Ehlers-Danlos syndrome: how to diagnose and when to perform genetic tests. Arch Dis Child. 2015;100:57–61.

    Article  Google Scholar 

  14. Sheen VL, Jansen A, Chen MH, Parrini E, et al. Filamin a mutations cause periventricular heterotopia with Ehlers-Danlos syndrome. Neurology. 2005;64:254–62.

    Article  CAS  Google Scholar 

  15. Malfait F, Francomano C, Byers P, et al. The 2017 international classification of the Ehlers-Danlos syndromes. Am J Med Genet C Semin Med Genet. 2017;175:8–26.

    Article  Google Scholar 

  16. Lawrence EJ. The clinical presentation of Ehlers-Danlos syndrome. Adv Neonatal Care. 2005;5:301–14.

    Article  Google Scholar 

  17. Malfait F, de Paepe A. The Ehlers-Danlos syndrome. Adv Exp Med Biol. 2014;802:129–43.

    Article  CAS  Google Scholar 

  18. Mao JR, Bristow J. The Ehlers-Danlos syndrome: on beyond collagens. J Clin Invest. 2001;107(1):063–9.

    Google Scholar 

  19. Tarrass F, Benjelloun M, Hachim K, et al. Ehlers-Danlos syndrome coexisting with juvenile nephronophthisis. Nephrology. 2006;11:117–9.

    Article  Google Scholar 

  20. Tinkle B, Castori M, Berglund B, et al. Updates in clinical and genetics aspects of hypermobile Ehlers Danlos syndrome. Am J Med Genet C Semin Med Genet. 2017;175:48–69.

    Article  Google Scholar 

  21. Byers PH, Belmont J, Black J, et al. Diagnosis, natural history, and management in vascular Ehlers-Danlos syndrome. Am J Med Genet C Semin Med Genet. 2017;175:40–7.

    Article  Google Scholar 

  22. Salhub S, Black J, Cecchi A, et al. Molecular diagnosis in vascular Ehlers-Danlos syndrome predicts pattern of arterial involvement and outcomes. J Vasc Surg. 2014;60:160–9.

    Article  Google Scholar 

  23. Steinmann B, Superti-Furga A, Joller-Jemelka HI, et al. Ehlers-Danlos syndrome type IV: a subset of patients distinguished by low serum levels of the amino-terminal propeptide of type III procollagen. Am J Med Genet. 1989;34:68–71.

    Article  CAS  Google Scholar 

  24. Burrows NP. The molecular genetics of the Ehlers-Danlos syndrome. Clin Exp Dermatol. 1999;24:99–106.

    Article  CAS  Google Scholar 

  25. Yeowell HN, Walker LC. Mutations in the lysyl hydroxylase 1 gene that result in enzyme deficiency and the clinical phenotype of Ehlers-Danlos syndrome type VI. Mol Genet Metab. 2000;712:12–24.

    Google Scholar 

  26. Steinmann B, Eyre DR, Shao P. Urinary pyridinoline cross-links in Ehlers-Danlos syndrome type VI. Am J Hum Genet. 1995;57:1505–8.

    CAS  PubMed  PubMed Central  Google Scholar 

  27. Malfait F, Coster P, Hausser I, et al. The natural history, including orofacial features of three patients with Ehlers-Danlos syndrome, Dermatosparaxis type (EDS type VIIC). AJ Med Genetics. 2004;131A:18–28.

    Article  Google Scholar 

  28. Pesudovs K. Orbscan mapping in Ehlers-Danlos syndrome. J Cataract Refractory Surg. 2004;30(1):795–8.

    Google Scholar 

  29. Sobey G. Ehlers-Danlos syndrome a-commonly misunderstood group of conditions. Clin Med. 2014;14:432–6.

    Article  Google Scholar 

  30. Mantle D, Wilkins R, Preedy V. A novel therapeutic strategy for Ehlers-Danlos syndrome on nutritional supplements. Med Hypotheses. 2005;64:279–83.

    Article  CAS  Google Scholar 

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Panteliadis, C.P. (2022). Ehlers-Danlos Syndrome. In: Panteliadis, C.P., Benjamin, R., Hagel, C. (eds) Neurocutaneous Disorders. Springer, Cham. https://doi.org/10.1007/978-3-030-87893-1_36

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  • DOI: https://doi.org/10.1007/978-3-030-87893-1_36

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  • Publisher Name: Springer, Cham

  • Print ISBN: 978-3-030-87892-4

  • Online ISBN: 978-3-030-87893-1

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