Presentation
Due to the patient’s presentation, we felt that he was presenting with a threatened limb and the patient was emergently taken to the peripheral catheterization laboratory for angiography. [vasculardiseasemanagement.com]
At presentation, imaging studies revealed multiple scattered cavitary lesions in both lungs. On separate occasions large parenchymal cysts ensued and subsequently regressed. [researchers.mq.edu.au]
Dermatosparaxis Type - presents with severe skin fragility and substantial bruising. [me-pedia.org]
Sponsored by www.bodysupportstore.com TOPIC: “Vascular Ehlers-Danlos Syndrome / EDS type IV” PRESENTER : Dr. Peter Byers About our speaker: Dr. [chronicpainpartners.com]
E hlers-Danlos syndrome (EDS) is a hereditary collagen disease presenting primarily as dermatological and joint disorders. [cda-adc.ca]
Entire Body System
- Chronic Fatigue Syndrome
Other causes of joint hypermobility - eg, benign joint hypermobility syndrome (BJHS), Marfan's syndrome, osteogenesis imperfecta [ 16 ]. Fibromyalgia. Chronic fatigue syndrome. [patient.info]
Hematological
- Easy Bruising
Tissue fragility including atrophic scars and easy bruising may be seen. Spontaneous arterial rupture can easily occur. Other findings may include: marfanoid habitus; microcornea; and radiologically considerable osteopenia. [ehlersdanlos.ca]
Easy bruising is common. Joint hypermobility is the primary clinical manifestation. [nature.com]
Signs and Symptoms of Vascular EDS The signs and symptoms of vascular EDS vary by patient; however, easy bruising, even after sustaining only minor trauma, is a common finding. 2,3 Patients with this condition may have soft skin that appears thin and [raredr.com]
bruising and hemorrhage and impaired wound healing in affected individuals. [dog.org]
They do some good but don’t keep the joints in place completely.” 9. “ Easy bruising. I leaned against furniture while rearranging my basement. Next day my legs looked like this. [themighty.com]
Gastrointestinal
- Failure to Thrive
The disease can present with low birth weight, and subsequent failure to thrive, with small stature and low weight. [annsaudimed.net]
Skin
- Translucent Skin
(s) Defect in one of the genes responsible for collagen Symptoms Loose joints, inflammed joints, malfunction of the autonomous nervous system, chronic fatigue, flat feet, narrow palate, frequent chest and sinus infections, aneurysms, smooth stretchy translucent [house.wikia.com]
Vascular Type Thin translucent skin reveals the subcutaneous venous pattern, and is particularly apparent over the chest and abdomen. Facial appearance is characteristic in some affected individuals. [ehlersdanlos.ca]
Many patients with EDS type 4 express a characteristic facial appearance (large eyes, small chin, sunken cheeks, thin nose and lips, lobeless ears), have a small stature with a slim build, and typically have thin, pale, translucent skin (veins can usually [snpedia.com]
Vascular EDS (VEDS) and Cardiac-valvular EDS (cvEDS) - presents with arterial/intestinal/uterine fragility with possibility of arterial or organ rupture; often presents with thin or translucent skin with veins being visible thru the skin and in cvEDS [me-pedia.org]
[…] fragile, with veins visible beneath the skin, particularly on the chest and abdomen. [raredr.com]
- Delayed Wound Healing
The classic type of EDS has the hallmark skin hyperextensibility, joint hypermobility, and easy bruisability, along with fragile and velvety soft skin and delayed wound healing with exaggerated scar formation. [edsers.com]
wound healing Kyphoscoliotic EDS Kyphoscoliotic EDS (kEDS) is rare. [nhs.uk]
Wounds take a longer time to heal and stretching of scars after apparently successful primary wound healing is characteristic. Scars become wide, with a “cigarette-paper”-like or papyraceous appearance ( Fig. 2 ). [nature.com]
healing resulting in elongated scarring (cigarette paper scars) Joint hypermobility Increased propensity for joint subluxations/disclocations Muscle weakness Delayed motor development Easy bruising Fatigue Frequent clumsiness Gait defects Frequent falls [physio-pedia.com]
- Excessive Wrinkled Skin
wrinkled skin of palms and soles Increased wrinkles of palms and soles Wrinkled palms and soles Wrinkled skin of hands and feet [ more ] 0007517 Pes planus Flat feet Flat foot [ more ] 0001763 Premature rupture of membranes 0001788 Progressive congenital [rarediseases.info.nih.gov]
- Finely Wrinkled Palms
The spondylocheirodyplastic form of EDS is characterized by hyperextensible thin skin, easy bruising, hypermobility of the small joints with a tendency to contractures, protuberant eyes with bluish sclerae, hands with finely wrinkled palms, atrophy of [nature.com]
Musculoskeletal
- Muscle Hypotonia
Kyphoscoliosis Type Generalized joint laxity and severe muscle hypotonia at birth are seen in this type of EDS. Muscular hypotonia can be very pronounced and leads to delayed gross motor development. [ehlersdanlos.ca]
Major criteria are: Congenital muscle hypotonia, and/or muscle atrophy, that improves with age; Proximal joint contractures (knee, hip and elbow); and Hypermobility of distal joints. There are four minor criteria. [ehlers-danlos.com]
Myopathic type is characterized by muscle hypotonia, muscle atrophy, joint contractures and hypermobility of distal joints. Periodontal type is characterized by periodontitis, lack of attached gingival and pretibial plaques. [xpertdox.com]
hypotonia and delayed motor development. [genecards.org]
Eyes
- Blue Sclera
Keratoconus, blue sclerae, dislocated lens, retinal detachment or angoid streaks were not observed. Conclusions: Ocular manifestations of EDS were mainly dry eye syndrome, myopia, strabism and hyperextensible eye lids. [dog.org]
Like EDS patients and EDS-K patients in particular, they may also have blue sclerae, joint hypermobility, hyperelastic skin, and hearing loss. Laboratory testing can distinguish EDS-K from BCS. Cutis laxa. [forgottendiseases.org]
Terms: Cutis Elastica Synonyms Brittle cornea syndrome Congenital anomaly of sclera Congenital kyphoscoliosis Corneal fragility keratoglobus, blue sclerae AND joint hypermobility Cutis laxa, x-linked Disorder of copper metabolism Distal arthrogryposis [icdlist.com]
A subset of patients may develop Brittle Cornea Syndrome characterized by thin cornea, progressive keratoglobus, and blue sclerae. [xpertdox.com]
sclerae, high myopia, and keratoconus. [me-pedia.org]
Neurologic
- Headache
We have kept a food diary, tracked headache symptoms, GI symptoms, pain, calorie intake, mast cell/ allergy reactions, and so on. [care.com]
Migraine headache Migraine headaches [ more ] 0002076 Muscular hypotonia Low or weak muscle tone 0001252 Myopia Close sighted Near sighted Near sightedness Nearsightedness [ more ] 0000545 Open bite Absence of overlap of upper and lower teeth Open bite [rarediseases.info.nih.gov]
Headaches. These manifestations may be more debilitating than the joint symptoms and often impair functionality and quality of life. [patient.info]
Osteoporosis due to reduction in general bone bone density up to 0.9 standard deviations lowering than the average, healthy adult Scoliosis Kyphosis Chronic joint, ligament, tendon, or muscle pain due to myofascial and/or neuropathic source Headaches [physio-pedia.com]
Cerebral spine fluid leak has rarely been reported to cause postural hypotension and headache in individuals with classic EDS. 9 Cardiovascular manifestations Structural cardiac malformations are uncommon in the classic type of EDS. [nature.com]
Onset
- Neonatal Onset
onset of joint laxity Kyphoscoliosis (lateral curvature of the spine accompanying an anteroposterior hump) Muscle hypotonia Other features Ocular fragility Skin fragility Easy bruisability Dermal hyperextensibility Risk for arterial rupture Most have [en.wikibooks.org]
[…] hypotonia Low muscle tone, in neonatal onset 0001319 Scoliosis Abnormal curving of the spine 0002650 30%-79% of people have these symptoms Abnormality of the hip bone Abnormality of the hips 0003272 Glaucoma 0000501 Hyperextensible skin Hyperelastic [rarediseases.info.nih.gov]
Treatment
With regard to the lower limbs, a choice between conservative treatment vs. surgical treatment is an important step in the treatment process. [f1000research.com]
Treatment - Ehlers-Danlos syndrome - type VIa - kyphoscoliosis Resources - Ehlers-Danlos syndrome - type VIa - kyphoscoliosis [checkorphan.org]
[…] disability, scoliosis, kyphosis, lordosis, intestinal failure and many more diagnoses 34 to be exact, but I need your help see with my rare condition EDS it causes a lot of medical issues which needs me to have surgeries, specialized medications and treatments [gofundme.com]
Its characteristics and results of treatment in thirty-five patients. J Bone Joint Surg Am. 1975; 57(3):358–368. 8. Sponseller PD, Bhimani M, Solacoff D, Dormans JP. Results of brace treatment of scoliosis in Marfan syndrome. [healio.com]
Each specific treatment protocol is individually designed and specialized for the affected individual in order to meet the needs of that specific patient. [physio-pedia.com]
Prognosis
Causes - Ehlers-Danlos syndrome - type VIa - kyphoscoliosis Prevention - Ehlers-Danlos syndrome - type VIa - kyphoscoliosis Diagnosis - Ehlers-Danlos syndrome - type VIa - kyphoscoliosis Prognosis - Ehlers-Danlos syndrome - type VIa - kyphoscoliosis EDS [checkorphan.org]
Prognosis The prognosis of EDS depends on the specific type. Life expectancy can be shortened with the Vascular Type of EDS due to the possibility of organ and vessel rupture. Life expectancy in all other types is normal. [ehlersdanlos.ca]
The best treatment depends on the prognosis and current situation of the child. [f1000research.com]
It affects about 1 in 5,000 people globally & the disease course, features and prognosis depend on the specific disorder. Association of excess mobility with the disease was first described by Hippocrates in 400 BC. [xpertdox.com]
Etiology
[…] have cardiac abnormalities Mitral valve prolapse Aortic root dilation with occasional rupture Scoliosis Pes planus (flatfoot) Molluscoid pseudotumors (calcified hematomas) may be associated with scars Inheritance Autosomal dominant single-gene disorder Etiology [en.wikibooks.org]
The initial chapters discuss surgical anatomy of hernias, incidence and etiology, diagnosis and anaesthesia. The following sections are each dedicated to a different type of hernia and its surgical management. [books.google.com]
They are organised into groups, and further divided into clinical, etiological or histopathological sub-types. [orpha.net]
(Etiology) Kyphoscoliotic Ehlers-Danlos Syndrome is caused by mutation(s) in the PLOD1 gene. Under normal circumstances (when the gene is not mutated), it codes for an enzyme called lysyl hydroxylase 1. [dovemed.com]
Etiology, diagnosis, and treatment implications. Sports Health 4(5): 394-403. Full text on PubMed. 5. [forgottendiseases.org]
Epidemiology
The discussion covers the phenotype spectrum, epidemiology, mode of inheritance, pathogenesis, and clinical profile of each condition, all of which is accompanied by a wealth of illustrations. [books.google.com]
Relevant External Links for PLOD1 Genetic Association Database (GAD) PLOD1 Human Genome Epidemiology (HuGE) Navigator PLOD1 Atlas of Genetics and Cytogenetics in Oncology and Haematology: PLOD1 No data available for Genatlas for PLOD1 Gene Cloning of [genecards.org]
A brief history of the disease is presented along with the epidemiology and characteristics of the 8 main phenotypes of the syndrome. [cda-adc.ca]
Epidemiology Frequency The prevalence of Ehlers-Danlos syndrome (EDS) is reported to be 1 case in approximately 400,000 people, but mild or incomplete forms appear to be underdiagnosed and more common than other forms. [emedicine.medscape.com]
Epidemiology of Ehlers-Danlos syndromes [ 4 ] Prevalence of EDS is usually quoted as about 1/5,000 for all types, with hEDS hypermobility type accounting for about half of all registered cases: however, hEDS is an underdiagnosed condition; a frequency [patient.info]
Pathophysiology
2016 Considering that patients with CHST14/D4ST1 deficiency develop progressive multisystem fragility‐related manifestations, establishment of a comprehensive and detailed natural history and health‐care guidelines as well as further elucidation of the pathophysiology [semanticscholar.org]
Clinical recognition of the various types of Ehlers-Danlos syndrome is important, which is particularly true for the vascular type, as it is associated with arterial rupture and visceral perforation, with possible life-threatening consequences. [5] Pathophysiology [emedicine.medscape.com]
Prevention
Causes - Ehlers-Danlos syndrome - type VIa - kyphoscoliosis Prevention - Ehlers-Danlos syndrome - type VIa - kyphoscoliosis Diagnosis - Ehlers-Danlos syndrome - type VIa - kyphoscoliosis Prognosis - Ehlers-Danlos syndrome - type VIa - kyphoscoliosis EDS [checkorphan.org]
Physical therapy aims to improve strength of muscles surrounding a joint, thereby stabilizing the area and preventing dislocations. [scoliosisassociates.com]
In additional, there are several steps you can take to prevent injury. [healthline.com]
Preventive measures in EDS will include consequent protection of the eye from trauma and definite therapy of the dry eye syndrome. [dog.org]
Kyphoscoliotic Ehlers-Danlos Syndrome is a genetic disorder, and currently, there are no methods or guidelines available to prevent its occurrence. [dovemed.com]