How To Suspect Eds Type Iii Patients - Visual Aids
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1HOW TO SUSPECT EDS TYPE III PATIENTS.
VISUAL AIDS
Jaime F. Bravo MD
Clinical Professor. University of Chile, Medical School.
Rheumatologist, San Juan de Dios Hospital. Santiago, Chile
Background/Purpose: Ehlers-Danlos Syndrome type III (EDS-III), also known as EDS Hypermobile (EDSH), is a
very frequent and usually undiagnosed condition. The purpose of this presentation is to give tools and information to
help physicians make the diagnosis.
Method: These pictures have been obtained after 17 years of seeing over 4000 patients by the author.
Material:
Skin Alterations
Typical EDS-III Facies
• Triangular face (pointed jaw).
• Atypical
ears:
prominent
“winged”;
small,
round
and
without lobule; lobule attached to
the face; Different shapes: kidney
shape, “Dumbo” ears, pointed “Mr.
Spock” ears, soft ears, bent upper
Lenticular
Transparent skin
Lax skin
Hematoma
helix,
prominent
ante
helix;
Moles
question mark shape ears; operated
ears.
• Light blue sclera, more noticeable
in women.
• Atypical nose: nodule between the
bone and the cartilage; deviated
nasal septum; operated nose.
Papiraceous scar
Keloid scar
Striae
• Antimongolic slant
Ref. Bravo JF. Arthritis Rheum 2006; 54 (2): 515-23
Lenticular moles
Hand and Wrist signs
Party tricks
Flying bird hand
Horizontal thumb
Hand holding the head
Beighton Score
Normal
“Lax Scribe Hand” Sign
Marfanoid Habitus
Hypermobility of the tongue
Important Note:
Remember that 50% of EDS-III have little or no hypermobility
(Beighton 3/9 or less)
15 y/o with mother. Model
For more details see the web page,
from magazine
Conclusions
:
Ehlers-Danlos Syndrome type III is a very frequent disease, with dominant inheritance, that usually goes
undiagnosed, due to lack of knowledge of the disease by physicians. In this poster we present the most usual
clinical signs that will enable doctors to suspect the diagnosis.
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