Hyperdynamic Valve: A Rare Case of Ehlers-Danlos Syndrome.

COL1A2 Cardiac-valvular subtype Ehlers-Danlos syndrome Hypermotility

Journal

Journal of medical cases
ISSN: 1923-4155
Titre abrégé: J Med Cases
Pays: Canada
ID NLM: 101551824

Informations de publication

Date de publication:
Jul 2021
Historique:
received: 09 03 2021
accepted: 23 03 2021
entrez: 26 8 2021
pubmed: 27 8 2021
medline: 27 8 2021
Statut: ppublish

Résumé

Ehlers-Danlos syndrome is a group of rare genetic disorders of collagen characterized by skin hyperextensibility, joint hypermobility and tissue fragility. The authors describe a rare case of a 52-year-old woman that presented to the clinic with chronic joint pain and talipes equinovarum since childhood. Large eyes, sunken cheeks, thin nose and lobeless ears were noticed on clinical examination. Beighton joint hypermotility criteria were met with a positive Walker and Steinberg sign, elbow extension superior to 10° and knee extension in genu recurvatum more than 10°. An aortic diastolic grade III/VI heart murmur was heard. The complementary study was unremarkable. Moderate aortic insufficiency was found on transthoracic echocardiogram. Genetic testing confirmed positivity for COL1A2, a gene that encodes pro-alpha2 chain type of collagen, which causes cardiac-valvular Ehlers-Danlos syndrome. Authors intend to warn to collagen-related syndromes, since severe complications are associated with a reduced life expectancy for individuals with this condition.

Identifiants

pubmed: 34434473
doi: 10.14740/jmc3692
pmc: PMC8383692
doi:

Types de publication

Case Reports

Langues

eng

Pagination

284-287

Informations de copyright

Copyright 2021, Pires et al.

Déclaration de conflit d'intérêts

None to declare.

Références

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Auteurs

Sofia Xavier Pires (SX)

Department of Internal Medicine, Hospital Senhora da Oliveira, Guimaraes, Portugal.

Gabriela Pereira (G)

Department of Internal Medicine, Hospital Senhora da Oliveira, Guimaraes, Portugal.

David Paiva (D)

Department of Internal Medicine, Hospital Senhora da Oliveira, Guimaraes, Portugal.

Filipa Cordeiro (F)

Department of Cardiology, Hospital Senhora da Oliveira, Guimaraes, Portugal.

Magda Fernandes (M)

Department of Internal Medicine, Hospital Senhora da Oliveira, Guimaraes, Portugal.

Jorge Cotter (J)

Department of Internal Medicine, Hospital Senhora da Oliveira, Guimaraes, Portugal.

Classifications MeSH