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Sibs affected with both Ehlers-Danlos syndrome type VI and cystic fibrosis

✍ Scribed by Jarisch, Andrea; Giunta, Cecilia; Zielen, Stefan; K�nig, Rainer; Steinmann, Beat

Publisher
John Wiley and Sons
Year
1998
Tongue
English
Weight
30 KB
Volume
78
Category
Article
ISSN
0148-7299
DOI
10.1002/(sici)1096-8628(19980806)78:5<455::aid-ajmg11>3.0.co;2-e

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✦ Synopsis

We report on the unprecedented combination of two recessively inherited disorders, the kyphoscoliosis type of Ehlers-Danlos syndrome (EDS type VI) and cystic fibrosis (CF), in two sibs born to consanguineous Turkish parents. Because of failure to thrive and bronchitis CF was diagnosed in the index patient early whereas EDS VI was recognized only very late. Both patients had marked muscular hypotonia at birth, delayed gross motor development, progressive kyphoscoliosis, joint dislocations, Marfanoid habitus, hypertrophic and atrophic scars, and osteopenia. EDS VI was proven by collagen studies and the pathognomonic pattern of urinary pyridinolines. Because the genes coding for the two disorders are located on different chromosomes and a chromosomal rearrangement was excluded, we conclude that their combination is a chance association. The cardiopulmonary impairment common to both diseases makes the prognosis dismal.

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