Question 1

how do you get eds?

Accepted Answer

Genetic: Ehlers-danlos syndrome is genetic, and is tremendously diverse -- from mere double-jointedness to life-threatening fragile vessels.

Question 2

what are the types of eds?

Accepted Answer

EDS types: There are 6 major types of eds, they are inherited disorders marked by loose joints, hyper elastic skin that bruises easily, easily enlarged blood vessels.  They are called types 1 through 6. A variety of genetic mutations cause problems with collagen, the material that provides strength to soft tissue structures and bone. Collagen typing and gene mutation testing can determine the eds type.

Question 3

what are the signs of eds?

Accepted Answer

Loose-jointedness: There are several variations of eds but they all have loose-jointedness as a primary symptoms. Increased elasticity of the skin may also be present.

Question 4

what's transmission of eds?

Accepted Answer

Genetic: The only common form of eds is type iii.  This is because afflicted individuals rarely reach childhood; and, certainly not adulthood.  Eds iii is an autosomally dominant gene which means that 50% of children of the affected person will have the disease; or each child has a 50% risk of developing the disease.

Question 5

how would i get diagnoses for eds?

Accepted Answer

Ehlers Danlos? : If you are referring to Ehlers-Danlos, your doctor will do a physical exam of your skin and joints. She may also do a skin biopsy looking for abnormal collagen.

Question 6

what is inheritance and pentrance of eds?

Accepted Answer

Depends: Ehlers danlos is a family of disorders, which has 6 major and several minor types. Given the multiple genes involved, it can be inherited in both autosomal dominant and autosomal recessive patterns, and can even spring from a de novo mutation. Penetrance depends on the type of mutation, and can therefore not be reliably calculated without more information.

Question 7

what are the manifestations associated with eds?

Accepted Answer

EDS: Excessive daytime sleepiness is exactly that.  People typically will be tired during the day, fall asleep easily during activities that they should not falls asleep and may have a hard time staying awake while driving.
It is also the diagnosis we typically use for patients so that they can qualify for a sleep study when we have concerns about sleep apnea.  Sleep studies can be $2-4k tests.

Question 8

are there any adults with eds who don't know it?

Accepted Answer

Yes: Generally, these are wonderful gymnasts, ballerinas and people who easily dislocate their joints to perform some pretty amazing feats, such as escaping from a strait jacket.  However, the price is very high for those who use their flexibilty.  They have to retire early from the severe form of premature osteoarthritis that they develop.

Question 9

does age increase the severity of eds symptoms/problems?

Accepted Answer

Yes: Ed becomes more common with increasing age.  However, other factors play a role and are certainly more controllable.  Not smoking, and controlling blood sugars and blood pressure will help symptoms of ed.  Also, exercising will increase blood flow and decrease symptoms of ed.

Question 10

how long can someone with eds live after symptoms begin?

Accepted Answer

It depends: There are several subsets of eds as well as a condition known as benign hyper mobility syndrome. Most individuals with eds have relatively mild disease and can expect a normal life span.

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