Ehlers–Danlos syndrome type VIB with characteristic facies, decreased curvatures of the spinal column, and joint contractures in two unrelated girls
Abstract
Two unrelated girls, aged 11 and 14 years, with clinical manifestations of Ehlers–Danlos syndrome (EDS) type VIB, characteristic facies, skeletal abnormalities, and other features are described. They had Marfanoid habitus with pectus excavatum; fragile, hyperextensible, and readily bruisable skin with widened, atrophic scars; recurrent hematomas; generalized joint laxity; hypotonia; scoliosis; and mild delay of gross motor development. Lysyl hydroxylase deficiency was ruled out in Patient 1. Parental consanguinity was present in Patient 2. They both had, in early childhood, down‐slanting palpebral fissures, drooping lower eyelids, short nose, small mouth, and long philtrum. Facial features that persisted included thick eyebrows, hypertelorism, strabismus, blue sclerae, low‐set, and slanted ears, hypoplastic columella, high‐arched palate, and thin upper lip. They had tubular stenosis of the phalanges, metacarpals, and metatarsals; decreased physiological curvatures of the spinal column with tall vertebrae; and joint contractures including talipes equinovarus and progressive talipes valgus. Their hearing of high‐pitched sounds was impaired. They had constipation and recurrent cystitis with an enlarged bladder. In view of these findings, we propose that these two girls represent a clinically recognizable subgroup of EDS type VIB. © 2005 Wiley‐Liss, Inc.
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Kosho et al. [2005] proposed that these patients represented a clinically recognizable subgroup of EDS, tentatively classified as EDS type VIB.
“Kosho et al. [2005] proposed that these patients represented a clinically recognizable subgroup of EDS, tentatively classified as EDS type VIB.”
From The Ehlers–Danlos syndromes, rare types (2017) · cites this paper as Kosho et al., 2005
EDS caused by D4ST1 deficiency was initially reported as three independent conditions, ATCS, EDS Kosho Type, and musculocontractural EDS, all now concluded to be a single clinical entity.
“EDS caused by D4ST1 deficiency has initially been reported as three independent conditions: A rare type of arthrogryposis syndrome, “adducted thumbclubfoot syndrome (ATCS)”; a specific type of EDS, “EDS, Kosho Type (EDSKT)”; and a subset of kEDS without lysyl hydroxylase deficiency, “musculocontractural EDS (MCEDS),” all of which are now concluded to be a single clinical entity”
From The Ehlers–Danlos syndromes, rare types (2017) · cites this paper as Kosho et al., 2005
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Self-citation
- Authors
- Kosho, T., Takahashi, J., Ohashi, H., Nishimura, G., Kato, H., & Fukushima, Y.
- Affiliations
- Shinshu University (JP)
- Saitama Children's Medical Center (JP)
- Tokyo Metropolitan Kiyose Children's Hospital (JP)
- Corresponding author
- Kosho, Tomoki
- Venue
- American Journal of Medical Genetics Part A
- Publisher
- Wiley
- Published
- 2005-09-20
- Volume
- 138A
- Issue
- 3
- Pages
- 282-287
- ISSN
- 1552-4825 (ISSN-L)
- 1552-4833
- OpenAlex
- W2056817486
- Cited by
- 51
- References
- 12
- Citations by year
- 2026: 1 · 2025: 2 · 2024: 2 · 2023: 3 · 2022: 2 · 2021: 4 · 2020: 2 · 2019: 2 · 2018: 3 · 2017: 3 · 2015: 3 · 2014: 2 · 2013: 4 · 2012: 7
- FWCI
- 0.36
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- American Journal of Medical Genetics Part A (publishedVersion)
- PubMed (publishedVersion)
- Topics
- Life Sciences › Biochemistry, Genetics and Molecular Biology › Genetics › Connective tissue disorders research
- Life Sciences › Biochemistry, Genetics and Molecular Biology › Genetics › Dermatological and Skeletal Disorders
- Life Sciences › Biochemistry, Genetics and Molecular Biology › Genetics › Genomics and Rare Diseases
- Keywords
- Marfanoid habitus, pectus excavatum, joint contractures, scoliosis, facial dysmorphism, hypertelorism, clubfoot, parental consanguinity, cystitis, hearing loss
- MeSH terms
- Adolescent, Child, Child, Preschool, Clubfoot, Consanguinity, Contracture, Ehlers-Danlos Syndrome, Female, Hand Deformities, Humans, Infant, Infant, Newborn, Radiography, Spinal Curvatures, Facies
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