[Respiratory manifestations of Ehlers-Danlos syndromes]. 2023

A Benattia, and K Benistan, and M Frank, and S Boussouar
Service de pneumologie, hôpital Saint-Louis, AP-HP, Paris, France. Electronic address: amira.benattia@aphp.fr.

Ehlers-Danlos syndromes (EDS) represent a heterogeneous group of heritable connective tissue disorders characterized by the clinical "triad" consisting in joint hypermobility, skin hyperextensibility and tissue fragility. Respiratory manifestations associated with EDS are frequent and variable. They vary mainly according to the type of EDS. In hypermobile and classical EDS, the most frequent non-vascular types, dyspnea is a common symptom. Its etiologies are wide-ranging and can coexist in the same patient: asthma, respiratory muscle weakness, chest wall abnormalities, upper and lower airway collapse. The prevalence of obstructive sleep apnea syndrome in nvEDS is high. Identification of the relevant dyspnea mechanism is essential to providing appropriate therapeutic measures. In vascular EDS (vEDS), the main pulmonary complications are pneumothorax, hemothorax and hemoptysis. As they frequently precede the diagnosis of vEDS by several years, it is imperative to raise the possibility of vEDS in a young patient with spontaneous pneumothorax or hemothorax. The presence of suggestive computed tomography parenchymal abnormalities (emphysema, clusters of calcified nodules, cavitated nodule) can be an aid to diagnosis. Treatment is based on the usual approaches, which must be carried out with caution by an experienced operator fully informed of the diagnosis. Better knowledge of respiratory manifestations of EDS by the pneumological community would improve patient care and pave the way for further research.

UI MeSH Term Description Entries
D011030 Pneumothorax An accumulation of air or gas in the PLEURAL CAVITY, which may occur spontaneously or as a result of trauma or a pathological process. The gas may also be introduced deliberately during PNEUMOTHORAX, ARTIFICIAL. Pneumothorax, Primary Spontaneous,Pressure Pneumothorax,Primary Spontaneous Pneumothorax,Spontaneous Pneumothorax,Tension Pneumothorax,Pneumothorax, Pressure,Pneumothorax, Spontaneous,Pneumothorax, Tension,Spontaneous Pneumothorax, Primary
D004535 Ehlers-Danlos Syndrome A heterogeneous group of autosomally inherited COLLAGEN DISEASES caused by defects in the synthesis or structure of FIBRILLAR COLLAGEN. There are numerous subtypes: classical, hypermobility, vascular, and others. Common clinical features include hyperextensible skin and joints, skin fragility and reduced wound healing capability. Cutis Elastica,Ehlers Danlos Disease,Ehlers-Danlos Disease,Danlos Disease, Ehlers,Disease, Ehlers Danlos,Disease, Ehlers-Danlos,Ehlers Danlos Syndrome,Syndrome, Ehlers-Danlos
D006491 Hemothorax Hemorrhage within the pleural cavity.
D006801 Humans Members of the species Homo sapiens. Homo sapiens,Man (Taxonomy),Human,Man, Modern,Modern Man
D000094623 Ehlers-Danlos Syndrome, Type IV A subtype of Ehlers-Danlos syndrome (EDS) characterized by vascular pathologies, e.g., AORTIC DISSECTION in addition to common EDS findings, e.g., hyperextensible skin and joints, skin fragility and reduced wound healing capability. It is associated with mutations in collagen type III alpha 1 chain gene (COLLAGEN TYPE III). Type IV Ehlers-Danlos Syndrome,Vascular Ehlers-Danlos Syndrome,Vascular Type Ehlers-Danlos Syndrome,EDS IV,Ehlers Danlos Syndrome Type 4, Autosomal Dominant,Ehlers Danlos Syndrome, Arterial Type,Ehlers Danlos Syndrome, Ecchymotic Type,Ehlers Danlos Syndrome, Sack-Barabas Type,Ehlers-Danlos Syndrome, Arterial Type,Ehlers-Danlos Syndrome, Ecchymotic Type,Ehlers-Danlos Syndrome, Sack-Barabas Type,Ehlers-Danlos Syndrome, Type IV, Autosomal Dominant,Ehlers-Danlos Syndrome, Vascular Type,Ehlers Danlos Syndrome, Sack Barabas Type,Ehlers-Danlos Syndrome, Vascular,Ehlers-Danlos Syndromes, Vascular,Syndrome, Vascular Ehlers-Danlos,Syndromes, Vascular Ehlers-Danlos,Type IV Ehlers Danlos Syndrome,Vascular Ehlers Danlos Syndrome,Vascular Ehlers-Danlos Syndromes
D012868 Skin Abnormalities Congenital structural abnormalities of the skin. Abnormalities, Skin,Abnormality, Skin,Skin Abnormality

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