ehlers-danlos syndrome type vii: clinical features and molecular defects* by cecilia giunta, andrea...

10
Ehlers-Danlos Syndrome Type VII: Clinical Features and Molecular Defects* by CECILIA GIUNTA, ANDREA SUPERTI-FURGA, STEPHANIE SPRANGER, WILLIAM G. COLE, and BEAT STEINMANN J Bone Joint Surg Am Volume 81(2):225-238 February 1, 1999 ©1999 by The Journal of Bone and Joint Surgery, Inc.

Upload: candace-brown

Post on 04-Jan-2016

216 views

Category:

Documents


1 download

TRANSCRIPT

Page 1: Ehlers-Danlos Syndrome Type VII: Clinical Features and Molecular Defects* by CECILIA GIUNTA, ANDREA SUPERTI-FURGA, STEPHANIE SPRANGER, WILLIAM G. COLE,

Ehlers-Danlos Syndrome Type VII: Clinical Features and Molecular Defects*

by CECILIA GIUNTA, ANDREA SUPERTI-FURGA, STEPHANIE SPRANGER, WILLIAM G. COLE, and BEAT STEINMANN

J Bone Joint Surg AmVolume 81(2):225-238

February 1, 1999

©1999 by The Journal of Bone and Joint Surgery, Inc.

Page 2: Ehlers-Danlos Syndrome Type VII: Clinical Features and Molecular Defects* by CECILIA GIUNTA, ANDREA SUPERTI-FURGA, STEPHANIE SPRANGER, WILLIAM G. COLE,

Fig. 1 Case 1.

CECILIA GIUNTA et al. J Bone Joint Surg Am 1999;81:225-238

©1999 by The Journal of Bone and Joint Surgery, Inc.

Page 3: Ehlers-Danlos Syndrome Type VII: Clinical Features and Molecular Defects* by CECILIA GIUNTA, ANDREA SUPERTI-FURGA, STEPHANIE SPRANGER, WILLIAM G. COLE,

Figs. 2-A through 2-E: Case 2.

CECILIA GIUNTA et al. J Bone Joint Surg Am 1999;81:225-238

©1999 by The Journal of Bone and Joint Surgery, Inc.

Page 4: Ehlers-Danlos Syndrome Type VII: Clinical Features and Molecular Defects* by CECILIA GIUNTA, ANDREA SUPERTI-FURGA, STEPHANIE SPRANGER, WILLIAM G. COLE,

Fig. 2-B Photograph showing hyperextensibility of the finger joints.

CECILIA GIUNTA et al. J Bone Joint Surg Am 1999;81:225-238

©1999 by The Journal of Bone and Joint Surgery, Inc.

Page 5: Ehlers-Danlos Syndrome Type VII: Clinical Features and Molecular Defects* by CECILIA GIUNTA, ANDREA SUPERTI-FURGA, STEPHANIE SPRANGER, WILLIAM G. COLE,

Fig. 2-C Lateral radiograph of the knee, showing posterior subluxation of the tibia on the femur.

CECILIA GIUNTA et al. J Bone Joint Surg Am 1999;81:225-238

©1999 by The Journal of Bone and Joint Surgery, Inc.

Page 6: Ehlers-Danlos Syndrome Type VII: Clinical Features and Molecular Defects* by CECILIA GIUNTA, ANDREA SUPERTI-FURGA, STEPHANIE SPRANGER, WILLIAM G. COLE,

Fig. 2-D Anteroposterior radiograph showing bilateral subluxation of the hip.

CECILIA GIUNTA et al. J Bone Joint Surg Am 1999;81:225-238

©1999 by The Journal of Bone and Joint Surgery, Inc.

Page 7: Ehlers-Danlos Syndrome Type VII: Clinical Features and Molecular Defects* by CECILIA GIUNTA, ANDREA SUPERTI-FURGA, STEPHANIE SPRANGER, WILLIAM G. COLE,

Fig. 2-E Lateral radiograph of the skull, showing wormian bones (arrow) near the occipital suture, a large open anterior fontanelle, and thickening of the calvaria, which had a pumice-like

appearance.

CECILIA GIUNTA et al. J Bone Joint Surg Am 1999;81:225-238

©1999 by The Journal of Bone and Joint Surgery, Inc.

Page 8: Ehlers-Danlos Syndrome Type VII: Clinical Features and Molecular Defects* by CECILIA GIUNTA, ANDREA SUPERTI-FURGA, STEPHANIE SPRANGER, WILLIAM G. COLE,

Fig. 3 Case 2.

CECILIA GIUNTA et al. J Bone Joint Surg Am 1999;81:225-238

©1999 by The Journal of Bone and Joint Surgery, Inc.

Page 9: Ehlers-Danlos Syndrome Type VII: Clinical Features and Molecular Defects* by CECILIA GIUNTA, ANDREA SUPERTI-FURGA, STEPHANIE SPRANGER, WILLIAM G. COLE,

Fig. 4 Images showing the nucleotide sequence of normal and mutant alleles obtained by Amplification Refractory Mutation System (ARMS) polymerase chain reaction.

CECILIA GIUNTA et al. J Bone Joint Surg Am 1999;81:225-238

©1999 by The Journal of Bone and Joint Surgery, Inc.

Page 10: Ehlers-Danlos Syndrome Type VII: Clinical Features and Molecular Defects* by CECILIA GIUNTA, ANDREA SUPERTI-FURGA, STEPHANIE SPRANGER, WILLIAM G. COLE,

Fig. 5 Schematic representations depicting the pathogenesis of type-VIIB Ehlers-Danlos syndrome.

CECILIA GIUNTA et al. J Bone Joint Surg Am 1999;81:225-238

©1999 by The Journal of Bone and Joint Surgery, Inc.