title: Ehlers-Danlos syndrome type IV: unusual congenital anomalies in a mother and son with a COL3A1 mutation and a normal collagen III protein profile.
abstract: A mother and son with Ehlers-Danlos syndrome (EDS) type IV and unusual congenital anomalies are described. The congenital anomalies include, in the mother, amniotic band-like constrictions on one hand, a unilateral clubfoot, and macrocephaly owing to normal-pressure hydrocephaly and, in the son, an esophageal atresia and hydrocephaly. Protein analysis of collagen III in cultured fibroblasts of the mother showed no abnormalities. However, DNA analysis of the COL3A1 gene revealed a pathogenic mutation (388G-->T) in both the mother and the son. The possible relationship between the observed congenital anomalies and EDS IV are discussed. We stress that DNA analysis of COL3A1 should be performed in all patients when there is a strong suspicion of EDS IV, despite negative findings in a collagen protein analysis.
authors.affiliation: Department of Medical Genetics, University Medical Center WKZ, Internal mail KC 04.084.2, Lundlaan 6, 3584 EA Utrecht, the Netherlands. h.y.kroes@dmg.azu.nl
authors.forename: H Y
authors.initials: HY
authors.lastname: Kroes
authors.forename: G
authors.initials: G
authors.lastname: Pals
authors.forename: A J
authors.initials: AJ
authors.lastname: van Essen
mesh_terms: D024061:Collagen Type III / Q000235:genetics*; D004535:Ehlers-Danlos Syndrome / Q000235:genetics* / Q000473:pathology*; D004591:Electrophoresis, Polyacrylamide Gel; D005260:Female; D005347:Fibroblasts / Q000737:chemistry; D006801:Humans; D008297:Male; D017354:Point Mutation; D017422:Sequence Analysis, DNA
chemical_list: D024061:Collagen Type III