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Ehlers-Danlos syndrome, classic-like, 3(EDSCLL3)

MedGen UID:
1861383
Concept ID:
C5935631
Disease or Syndrome
Synonyms: EDSCLL3; EHLERS-DANLOS SYNDROME, CLASSIC-LIKE, 3
 
Gene (location): THBS2 (6q27)
 
Monarch Initiative: MONDO:0971044
OMIM®: 620865

Definition

Ehlers-Danlos syndrome classic-like-3 (EDSCLL3) is an autosomal dominant connective tissue disorder characterized by joint hypermobility and frequent joint dislocations, atrophic scarring, prolonged bleeding time, and age-related aortic dilatation and rupture (Hadar et al., 2024). For a discussion of genetic heterogeneity of classic-like Ehlers-Danlos syndrome, see 606408. For a discussion of the classificiation of Ehlers-Danlos syndrome, see EDSCL1 (130000). [from OMIM]

Clinical features

From HPO
Venous insufficiency
MedGen UID:
21841
Concept ID:
C0042485
Disease or Syndrome
A condition in which there is inadequate blood flow through a vein.
Ascending tubular aorta aneurysm
MedGen UID:
163631
Concept ID:
C0856747
Anatomical Abnormality
An abnormal localized widening (dilatation) of the tubular part of the ascending aorta.
Aortic arch aneurysm
MedGen UID:
852900
Concept ID:
C0856748
Anatomical Abnormality
An abnormal localized widening (dilatation) of the aortic arch.
Cardiomyopathy
MedGen UID:
209232
Concept ID:
C0878544
Disease or Syndrome
A myocardial disorder in which the heart muscle is structurally and functionally abnormal, in the absence of coronary artery disease, hypertension, valvular disease and congenital heart disease sufficient to cause the observed myocardial abnormality.
Thickened mitral valve cusp
MedGen UID:
1864127
Concept ID:
C5937137
Anatomical Abnormality
An abnormally increased thickness of a leaflet of the mitral valve.
Prolonged bleeding time
MedGen UID:
56231
Concept ID:
C0151529
Finding
Prolongation of the time taken for a standardized skin cut of fixed depth and length to stop bleeding.
Abnormal platelet count
MedGen UID:
488925
Concept ID:
C0580317
Finding
Abnormal number of platelets per volume of blood. In a healthy adult, a normal platelet count is between 150,000 and 450,000 per microliter of blood.
Abnormal prothrombin time
MedGen UID:
663294
Concept ID:
C0580412
Finding
Any deviation from the normal amount of time to coagulation in the prothrombin time test, which is a measure of the extrinsic pathway of coagulation. The results of the prothrombin time test are often expressed in terms of the International normalized ratio (INR), which is calculated as a ratio of the patient's prothrombin time (PT) to a control PT standardized for the potency of the thromboplastin reagent developed by the World Health Organization (WHO) using the formula
Abnormality of circulating fibrinogen
MedGen UID:
868734
Concept ID:
C4023139
Anatomical Abnormality
An abnormality of the level of activity of circulating fibrinogen.
Reduced von Willebrand factor activity
MedGen UID:
870263
Concept ID:
C4024701
Finding
Decreased activity of von Willebrand factor. Von Willebrand factor mediates the adhesion of platelets to the collagen exposed on endothelial cell surfaces.
Abnormal factor VIII activity
MedGen UID:
1387304
Concept ID:
C4476889
Finding
A deviation from the normal activity of coagulation factor VIII. Factor VIII (fVIII) is a cofactor in the intrinsic clotting cascade that is activated to fVIIIa in the presence of minute quantities of thrombin. fVIIIa acts as a receptor, for factors IXa and X.
Tendon rupture
MedGen UID:
508840
Concept ID:
C0151937
Injury or Poisoning
Breakage (tear) of a tendon.
Multiple joint dislocation
MedGen UID:
90698
Concept ID:
C0332792
Injury or Poisoning
Dislocation of many joints.
Joint hypermobility
MedGen UID:
336793
Concept ID:
C1844820
Finding
The capability that a joint (or a group of joints) has to move, passively and/or actively, beyond normal limits along physiological axes.
Atrophic scars
MedGen UID:
57875
Concept ID:
C0162154
Pathologic Function
Scars that form a depression compared to the level of the surrounding skin because of damage to the collagen, fat or other tissues below the skin.
Hyperextensible skin
MedGen UID:
66023
Concept ID:
C0241074
Finding
A condition in which the skin can be stretched beyond normal, and then returns to its initial position.
Piezogenic pedal papules
MedGen UID:
538035
Concept ID:
C0263654
Disease or Syndrome
Flesh-colored or yellowish papules, 2 mm or larger, that are responses to internal mechanical pressure and weakness in the connective tissue in the dermis, appear commonly over the medial aspect of the heel, but in some cases on the wrists. They are thought to represent herniations of adipose tissue through the plantar fascia retinaculum.
Bruising susceptibility
MedGen UID:
140849
Concept ID:
C0423798
Finding
An ecchymosis (bruise) refers to the skin discoloration caused by the escape of blood into the tissues from ruptured blood vessels. This term refers to an abnormally increased susceptibility to bruising. The corresponding phenotypic abnormality is generally elicited on medical history as a report of frequent ecchymoses or bruising without adequate trauma.

Recent clinical studies

Etiology

Basalom S, Rauch F
Curr Osteoporos Rep 2020 Apr;18(2):95-102. doi: 10.1007/s11914-020-00568-5. PMID: 32162201

Diagnosis

Basalom S, Rauch F
Curr Osteoporos Rep 2020 Apr;18(2):95-102. doi: 10.1007/s11914-020-00568-5. PMID: 32162201

Clinical prediction guides

Basalom S, Rauch F
Curr Osteoporos Rep 2020 Apr;18(2):95-102. doi: 10.1007/s11914-020-00568-5. PMID: 32162201

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