Ehler’s- Danlos Syndrome
EHLERS DANLOS SYNDROME (EDS) or CUTIS HYPER ELASTICA DIFFERENT FORMS OF EDS
Classic EDS
- Type I EDS (Severe) and Type II EDS (Mild)
Clinical Manifestations-
- Hyperelasticity of skin (Rubber Person Syndrome)
- Hypermobile joints
- Affect Type V Collagen and Type I Collagen.
- arachnodactyly
Hypermobile EDS (Type III EDS)
- Joint hypermobility
Vascular EDS (Type IV EDS)- Most serious
- Type III collagen is affected
Type V EDS
- Inherited as an X-linked trait
EDS with Tenascin X defect seen in-
Type III EDS
EDS due to enzyme defect-
- Arthrochalasic EDS (type VII EDS) or Dermatosparaxis
- Kyphoscoliotic
According to Villefranche Classification, EDS –
SUBTYPE |
DEFECT IN |
| Hypermobility | Type III collagen, Tenascin X |
| Classic | Type I and V collagen |
| Vascular | Type III collagen |
| Kyphoscoliosis | Lysylhydroxylase |
| Arthochalasis | Type I collagen |
| Dematosparaxis | ADAM metallopeptidase with thrombospondin type I motif |
Exam Important
Classic EDS
- Type I EDS (Severe) and Type II EDS (Mild)
Clinical Manifestations-
- Hyperelasticity of skin (Rubber Person Syndrome)
- Hypermobile joints
- Affect Type V Collagen and Type I Collagen.
Hypermobile EDS (Type III EDS)
- Joint hypermobility
Vascular EDS (Type IV EDS)- Most serious
- Type III collagen is affected
Type V EDS
- Inherited as an X-linked trait
EDS with Tenascin X defect seen in- Type III EDS
EDS due to enzyme defect-
- Arthrochalasic EDS (type VII EDS) or Dermatosparaxis
- Kyphoscoliotic
According to Villefranche Classification, EDS –
| SUBTYPE | DEFECT IN |
| Hypermobility | Type III collagen, Tenascin X |
| Classic | Type I and V collagen |
| Vascular | Type III collagen |
| Kyphoscoliosis | Lysylhydroxylase |
| Arthochalasis | Type I collagen |
| Dematosparaxis | ADAM metallopeptidase with thrombospondin type I motif |
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