J Pediatr Genet 2019; 08(02): 069-072
DOI: 10.1055/s-0038-1673643
Case Report
Georg Thieme Verlag KG Stuttgart · New York

Classic Ehlers–Danlos Syndrome in a Son and Father with a Heart Transplant Performed in the Father

Paushpala Sen
1   Department of Psychiatry and Behavioral Sciences and Pediatrics, University of Kansas Medical Center, Kansas City, Kansas, United States
,
Merlin G. Butler
1   Department of Psychiatry and Behavioral Sciences and Pediatrics, University of Kansas Medical Center, Kansas City, Kansas, United States
› Author Affiliations
Further Information

Publication History

07 June 2018

01 September 2018

Publication Date:
13 October 2018 (online)

Abstract

We report a 13-year-old male patient with severe orthopedic problems including features of a connective tissue disorder and a heterozygous c.305T > A variant found within exon 3 of the autosomal dominant collagen (COL5A1) gene causing the classic Ehlers–Danlos syndrome. This variant has not been reported previously and identified as having an unknown clinical significance but classified as trending damaging per in silico prediction with high conservation among species. Our patient's father had the same gene variant and similar features of stretchable skin, easy bruising, and multiple joint dislocations. The father had unexplained heart failure requiring cardiac transplantation at 43 years of age.

 
  • References

  • 1 Malfait F, Wenstrup RJ, De Paepe A. Clinical and genetic aspects of Ehlers-Danlos syndrome, classic type. Genet Med 2010; 12 (10) 597-605
  • 2 Ritelli M, Dordoni C, Venturini M. , et al. Clinical and molecular characterization of 40 patients with classic Ehlers-Danlos syndrome: identification of 18 COL5A1 and 2 COL5A2 novel mutations. Orphanet J Rare Dis 2013; 8: 58
  • 3 Ehlers E. Cutis Iaxa, neigung zu harmorrhagien in der haut, lockerun mehrer Artikulationen. Dermat Ztschr 1901; 8: 173
  • 4 Jones KL, Jones MC. , del Campo M. Smith's Recognizable Patterns of Human Malformation. 7th ed. Philadelphia, PA: Elsevier Saunders; 2013
  • 5 Kaufman CS, Butler MG. Mutation in TNXB gene causes moderate to severe Ehlers-Danlos syndrome. World J Med Genet 2016; 6 (02) 17-21
  • 6 Beighton P, Horan F. Orthopaedic aspects of the Ehlers-Danlos syndrome. J Bone Joint Surg Br 1969; 51 (03) 444-453
  • 7 Beighton P, De Paepe A, Steinmann B, Tsipouras P, Wenstrup RJ. ; Ehlers-Danlos National Foundation (USA) and Ehlers-Danlos Support Group (UK) Ehlers-Danlos syndromes: revised nosology, Villefranche, 1997. Am J Med Genet 1998; 77 (01) 31-37
  • 8 U.S. National Library of Medicine. Genetic home reference. Available at: http://ghr.nlm.nih.gov/condition/ehlers-danlos-syndrome . Accessed May 1, 2018
  • 9 Online Mendelian Inheritance in Man. An online cataloge of human genes and genetic disorders. Available at: https://www.omim.org/ ; MIM number: 120215; accessed May 1, 2018
  • 10 Mao D, Mu Z, Yang Y. , et al. Novel COL5A1 mutation in a Chinese family with classic type of Ehlers-Danlos syndrome. J Dermatol 2018; 45 (03) 370-371
  • 11 Yampolsky LY, Stoltzfus A. The exchangeability of amino acids in proteins. Genetics 2005; 170 (04) 1459-1472