title: [Bilateral spontaneous carotid-cavernous fistula revealing Ehler-Danlos disease].
abstract: METHODS
  A 34-year-old woman with an extensive surgical history developed two spontaneous carotido-cavernous fistula bilaterally. Skin examination revealed an acrogeric form of vascular Ehlers-Danlos syndrome and this diagnosis was confirmed by genetic analysis.
  
  
  CONCLUSIONS
  Vascular Ehlers-Danlos syndrome is a rare autosomal dominant genetic disease that may be suspected on the grounds of clinical symptoms. Severe complications can occur in early life and are associated with a high mortality rate. The prognosis of vascular Ehlers-Danlos syndrome has been radically changed by the use of beta-blockers.
  
  
  CONCLUSIONS
  The originality of our observation lies in the long time to onset of the initial complications in the absence of any problems during the numerous operations undergone by the patient, as well as the two childbirths.
authors.affiliation: Service de dermatologie, CHU de Besançon, 3, boulevard Alexandre-Fleming, 25030 Besançon cedex, France.
authors.forename: M
authors.initials: M
authors.lastname: Girardin
authors.forename: E
authors.initials: E
authors.lastname: Puzenat
authors.forename: P
authors.initials: P
authors.lastname: Humbert
authors.forename: F
authors.initials: F
authors.lastname: Aubin
mesh_terms: D000328:Adult; D020216:Carotid-Cavernous Sinus Fistula / Q000209:etiology*; D024061:Collagen Type III / Q000235:genetics; D004535:Ehlers-Danlos Syndrome / Q000175:diagnosis* / Q000235:genetics; D005260:Female; D006801:Humans; D009154:Mutation
chemical_list: C439971:COL3A1 protein, human; D024061:Collagen Type III