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Expanding the clinical and mutational spectrum of the Ehlers–Danlos syndrome, dermatosparaxis type
by
Malfait, Fransiska
, Aryani, Omid
, Van Damme, Tim
, Giunta, Cecilia
, Simsek-Kiper, Pelin Özlem
, Alanay, Yasemin
, De Paepe, Anne
, Rohrbach, Marianne
, Symoens, Sofie
, Kroes, Hester Y.
, Lindert, Uschi
, Thiry, Marc
, Syx, Delfien
, Devriendt, Koen
, Colige, Alain
in
631/208/1516
/ 631/208/2489/144
/ 631/208/737
/ 692/699/1670/122
/ ADAMTS Proteins - genetics
/ Adolescent
/ Adult
/ Biomedicine
/ Child
/ Child, Preschool
/ Ehlers-Danlos Syndrome - complications
/ Ehlers-Danlos Syndrome - genetics
/ Ehlers-Danlos Syndrome - pathology
/ Female
/ Human Genetics
/ Humans
/ Laboratory Medicine
/ Male
/ Mutation
/ original-research-article
/ Phenotype
2016
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Expanding the clinical and mutational spectrum of the Ehlers–Danlos syndrome, dermatosparaxis type
by
Malfait, Fransiska
, Aryani, Omid
, Van Damme, Tim
, Giunta, Cecilia
, Simsek-Kiper, Pelin Özlem
, Alanay, Yasemin
, De Paepe, Anne
, Rohrbach, Marianne
, Symoens, Sofie
, Kroes, Hester Y.
, Lindert, Uschi
, Thiry, Marc
, Syx, Delfien
, Devriendt, Koen
, Colige, Alain
in
631/208/1516
/ 631/208/2489/144
/ 631/208/737
/ 692/699/1670/122
/ ADAMTS Proteins - genetics
/ Adolescent
/ Adult
/ Biomedicine
/ Child
/ Child, Preschool
/ Ehlers-Danlos Syndrome - complications
/ Ehlers-Danlos Syndrome - genetics
/ Ehlers-Danlos Syndrome - pathology
/ Female
/ Human Genetics
/ Humans
/ Laboratory Medicine
/ Male
/ Mutation
/ original-research-article
/ Phenotype
2016
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Expanding the clinical and mutational spectrum of the Ehlers–Danlos syndrome, dermatosparaxis type
by
Malfait, Fransiska
, Aryani, Omid
, Van Damme, Tim
, Giunta, Cecilia
, Simsek-Kiper, Pelin Özlem
, Alanay, Yasemin
, De Paepe, Anne
, Rohrbach, Marianne
, Symoens, Sofie
, Kroes, Hester Y.
, Lindert, Uschi
, Thiry, Marc
, Syx, Delfien
, Devriendt, Koen
, Colige, Alain
in
631/208/1516
/ 631/208/2489/144
/ 631/208/737
/ 692/699/1670/122
/ ADAMTS Proteins - genetics
/ Adolescent
/ Adult
/ Biomedicine
/ Child
/ Child, Preschool
/ Ehlers-Danlos Syndrome - complications
/ Ehlers-Danlos Syndrome - genetics
/ Ehlers-Danlos Syndrome - pathology
/ Female
/ Human Genetics
/ Humans
/ Laboratory Medicine
/ Male
/ Mutation
/ original-research-article
/ Phenotype
2016
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Expanding the clinical and mutational spectrum of the Ehlers–Danlos syndrome, dermatosparaxis type
Journal Article
Expanding the clinical and mutational spectrum of the Ehlers–Danlos syndrome, dermatosparaxis type
2016
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Overview
Purpose:
The Ehlers–Danlos syndrome (EDS), dermatosparaxis type, is a recessively inherited connective tissue disorder caused by deficient activity of ADAMTS-2, an enzyme that cleaves the aminoterminal propeptide domain of types I, II, and III procollagen. Only 10 EDS dermatosparaxis patients have been reported, all presenting a recognizable phenotype with characteristic facial gestalt, extreme skin fragility and laxity, excessive bruising, and sometimes major complications due to visceral and vascular fragility.
Methods:
We report on five new EDS dermatosparaxis patients and provide a comprehensive overview of the current knowledge of the natural history of this condition.
Results:
We identified three novel homozygous loss-of-function mutations (c.2927_2928delCT, p.(Pro976Argfs*42); c.669_670dupG, p.(Pro224Argfs*24); and c.2751-2A>T) and one compound heterozygous mutation (c.2T>C, p.? and c.884_887delTGAA, p.(Met295Thrfs26*)) in
ADAMTS2
in five patients from four unrelated families. Three of these displayed a phenotype that was strikingly milder than that of previously reported patients.
Conclusion:
This study expands the clinical and molecular spectrum of the dermatosparaxis type of EDS to include a milder phenotypic variant and stresses the importance of good clinical criteria. To address this, we propose an updated set of criteria that accurately captures the multisystemic nature of the dermatosparaxis type of EDS.
Genet Med
18
9, 882–891.
Publisher
Nature Publishing Group US,Elsevier Limited
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