title: Type III collagen deficient EDS IV producing muscular hypotonia with abnormal muscle fibroblasts.
abstract: Muscle biopsy and fibroblast culture of a floppy child with Ehlers-Danlos syndrome type IV were studied. Biochemical analysis of the tissue showed drastically reduced amount of collagen type III. Electron microscopic examination of muscle as well as of cultured fibroblasts showed grossly dilated and dominated the cytoplasm endoplasmic reticulum. Dilatation may result from storage of an abnormal collagen type III molecule. Our observations indicate that type III collagen deficiency may be present clinically as a congenital muscle hypotonia. Specific ultrastructural abnormalities of fibroblasts found in muscle biopsy can enable the proper diagnosis.
authors.affiliation: Department of Neurology, Medical School, Warsaw, Poland.
authors.forename: A
authors.initials: A
authors.lastname: Fidziańska
authors.forename: Z
authors.initials: Z
authors.lastname: Glinka
authors.forename: A
authors.initials: A
authors.lastname: Kamińska
authors.forename: F M
authors.initials: FM
authors.lastname: Pope
mesh_terms: D002648:Child; D003094:Collagen / Q000172:deficiency; D004535:Ehlers-Danlos Syndrome / Q000150:complications / Q000473:pathology*; D005260:Female; D005347:Fibroblasts / Q000473:pathology / Q000648:ultrastructure; D006801:Humans; D008297:Male; D009123:Muscle Hypotonia / Q000151:congenital / Q000473:pathology*; D009132:Muscles / Q000473:pathology*; D012867:Skin / Q000473:pathology
chemical_list: D003094:Collagen