Table 1.
EDS subtype (historic nomenclature) | Genetic defect | Gastrointestinal manifestations |
---|---|---|
Classic (types I+II) | COL5A1, COL5A2 | Rectal prolapse, megacolon, megacystis |
Hypermobility (type III)* | Functional bowel disorders, gastro-esophageal reflux disease, gastritis, irritable bowel syndrome, celiac disease | |
Hypermobility, TNXB-related | TNXB | Gastrointestinal bleeding, Rectal prolapse, diverticulitis, bowel perforation |
Vascular (type IV) | COL3A1 | Bowel, spleen and liver rupture |
Kyphoscoliotic (type VIA)** | PLOD1 | Gastro-esophageal reflux |
Arthrochalasia (type VIIB)*** | COL1A1, COL1A2 | |
Dermatosparaxis (type VIIC)*** | ADAMTS2 | |
Spondylocheiro dysplastic*** | SLC39A13 | |
D4ST1-deficient EDS** | CHST14 | constipation, abdominal pain, absent gastrocolic omentum, spontaneous volvulus of small intestine, gastric ulcer, duodenal malrotation |
In most patients with the hypermobility type pathogenic mutations have not been identified
Described in single patients
Significant gastrointestinal complications have not been reported