Cited by 184Connective tissue disorders researchDermatological and Skeletal DisordersGenomics and Rare Diseases

Ehlers-Danlos syndrome, classical type

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Bowen, Jessica M., Sobey, Glenda J., Burrows, Nigel P., Colombi, Marina, Lavallee, Mark E., Malfait, Fransiska, Francomano, Clair A.·2017·American Journal of Medical Genetics Part C: Seminars in Medical Genetics

Abstract

Classical EDS is a heritable disorder of connective tissue. Patients are affected with joint hypermobility, skin hyperextensibilty, and skin fragility leading to atrophic scarring and significant bruising. These clinical features suggest consideration of the diagnosis which then needs to be confirmed, preferably by genetic testing. The most recent criteria for the diagnosis of EDS were devised in Villefranche in 1997. [Beighton et al. (1998); Am J Med Genet 77:31‐37]. The aims set out in the Villefranche Criteria were: to enable diagnostic uniformity for clinical and research purposes, to understand the natural history of each subtype of EDS, to inform management and genetic counselling, and to identify potential areas of research. The authors recognized that the criteria would need updating, but viewed the Villefranche nosology as a good starting point. Since 1997, there have been major advances in the molecular understanding of classical EDS. Previous question marks over genetic heterogeneity have been largely surpassed by evidence that abnormalities in type V collagen are the cause. Advances in molecular testing have made it possible to identify the causative mutation in the majority of patients. This has aided the further clarification of this diagnosis. The aim of this literature review is to summarize the current knowledge and highlight areas for future research. © 2017 Wiley Periodicals, Inc.

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  1. Byers P. 2013. Ehlers-Danlos syndrome. Emery and Rimoin's principles and practice of medical genetics. Amsterdam: Elsevier, chapter 154 pp 1-23.

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Authors
Bowen, J. M., Sobey, G. J., Burrows, N. P., Colombi, M., Lavallee, M. E., Malfait, F., & Francomano, C. A.
Affiliations
Greater Baltimore Medical Center (US)
Corresponding author
Francomano, Clair A.
Venue
American Journal of Medical Genetics Part C: Seminars in Medical Genetics
Publisher
Wiley
Published
2017-02-13
Volume
175
Issue
1
Pages
27-39
ISSN
  • 1552-4868 (ISSN-L)
  • 1552-4876
OpenAlex
W2588905034
Cited by
184
References
77
Citations by year
2026: 11 · 2025: 15 · 2024: 26 · 2023: 19 · 2022: 21 · 2021: 17 · 2020: 18 · 2019: 26 · 2018: 17 · 2017: 11 · 2016: 1 · 2012: 1
FWCI
2.53
Type
journal article
Language
en
Open access
Locations
  • American Journal of Medical Genetics Part C Seminars in Medical Genetics (publishedVersion)
  • PubMed (publishedVersion)
  • Ghent University Academic Bibliography (Ghent University) (submittedVersion)
  • Institutional Research Information System (Università degli Studi di Brescia) (submittedVersion)
Funders
  • University of Pennsylvania
  • Johns Hopkins University
  • Pennsylvania State University
  • Ehlers-Danlos Society
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
connective tissue diseases, joint hypermobility, skin hyperextensibility, skin fragility, type V collagen, COL5A1, COL5A2, genetic heterogeneity, genetic testing, molecular diagnosis, genetic counseling
MeSH terms
Ehlers-Danlos Syndrome, Genetic Testing, Humans, Mutation, Collagen Type V, Molecular Diagnostic Techniques

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