Clinical subtype | Musculoskeletal manifestations | Skin manifestations | Other manifestations | Distinguishing features* |
Classical EDS (cEDS) | - Generalized joint hypermobility
- Recurrent joint subluxations/dislocations
| - Hyperextensible skin
- Velvety or doughy skin texture
- Skin fragility
- Extensive atrophic scarring
- Increased bruisability
| | - Skin fragility with extensive atrophic scarring
- Velvety or doughy skin texture
|
Classical-like 1 EDS (clEDS1) | - Generalized joint hypermobility
- Foot deformities
- Leg swelling
| - Hyperextensible skin
- Velvety skin texture
- No atrophic scarring
- Increased bruisability
| | - No atrophic scarring
- Foot deformities
- Leg swelling
|
Classical-like 2 EDS (clEDS2)* | - Generalized joint hypermobility
| - Hyperextensible skin
- Velvety skin texture
- Increased bruisability
| - Gastrointestinal rupture (rare)
| - Gastrointestinal rupture (rare)
|
Classical-like 3 EDS (clEDS3)* | - Generalized joint hypermobility
| - Hyperextensible skin
- Soft or doughy skin texture
- Increased bruisability
| - Tendon rupture
- Cerebral aneurysms
| - Tendon rupture
- Cerebral aneurysms
|
Cardiac-valvular EDS (cvEDS) | - May have generalized joint hypermobility or hypermobility predominately in small distal joints
| - Hyperextensible, thin skin
- Atrophic scarring
- Increased bruisability
| - Severe heart valve insufficiency
| - Severe heart valve insufficiency
|
Vascular EDS (vEDS) | - Hypermobility predominately in small distal joints
- Tendon and muscle rupture
| - Thin, translucent skin
- Severe bruisability
| - Arterial fragility with aneurysm/dissection/rupture
- Organ fragility and rupture (eg, colon, uterus)
- Spontaneous pneumothorax
| - Arterial fragility with aneurysm/dissection/rupture
- Organ fragility and rupture (eg, colon, uterus)
- Extensive bruising
- Pneumothorax
|
Hypermobile EDS (hEDS) | - Generalized joint hypermobility
- Recurrent joint subluxations/dislocations
- Chronic pain
| - Mildly hyperextensible skin
- Soft, velvety skin texture
- Unexplained striae
| | - Generalized joint hypermobility
- Join instability (ie, subluxations, dislocations)
- Chronic pain
- Organ prolapse
|
Arthrochalasia EDS (aEDS) | - Severe generalized joint hypermobility
- Congenital bilateral hip dislocation
- Muscle hypotonia
- Kyphoscoliosis
- Mild osteopenia
| - Hyperextensible skin
- Skin fragility
- Atrophic scarring
| | - Severe joint hypermobility
- Congenital bilateral hip dislocation
- Hypotonia
- Mild osteopenia
|
Dermatosparaxis EDS (dEDS) | - Postnatal growth retardation, short limbs
| - Lax, redundant skin
- Severe skin fragility
- Severe bruisability
| | - Extreme skin fragility
- Loose, excessive skin
- Severe bruising
- Craniofacial features
- Postnatal growth retardation, short limbs
|
Kyphoscoliotic EDS (kEDS) | - Generalized joint hypermobility
- Recurrent joint subluxations/dislocations
- Congenital muscle hypotonia
- Congenital/early-onset kyphoscoliosis
- Marfanoid habitus
- Osteopenia
- FKBP14 form: myopathic features
| | - Blue sclerae
- Vascular fragility
- FKBP14 form: hearing loss
| - Congenital/early-onset kyphoscoliosis
- Marfanoid habitus
- Congenital hypotonia
- Blue sclerae
- Osteopenia
- FKBP14 form: hearing loss, myopathic features
|
Brittle cornea syndrome (BCS) | | | - Severe ocular problems (thin cornea, keratoconus, blue sclerae, high myopia, risk of global rupture and retinal detachment)
- Hearing loss
| - Severe ocular problems (thin cornea, keratoconus, blue sclerae, high myopia, risk of global rupture and retinal detachment)
- Hearing loss
|
Spondylodysplastic EDS (spEDS) | - Limb bowing
- Short stature
- Muscle hypotonia
- Osteopenia
| - Hyperextensible, thin skin
- Doughy skin texture
| | - Short stature
- Hypotonia
- Limb bowing
- Osteopenia
- Craniofacial features
|
Musculocontractural EDS (mcEDS) | - Generalized joint hypermobility
- Recurrent joint subluxations/dislocations
- Multiple congenital contractures (eg, clubfoot)
| - Hyperextensible skin
- Skin fragility
- Atrophic scarring
- Increased bruisability
| | - Multiple congenital contractures (eg, clubfoot)
- Craniofacial features
|
Myopathic EDS (mEDS) | - Hypermobility predominately in small distal joints
- Proximal joint contractures
- Congenital hypotonia
| - Doughy skin texture
- Atrophic scarring
| | - Congenital hypotonia
- Proximal joint contractures
|
Periodontal EDS (pEDS) | - Hypermobility predominately in small distal joints
- Marfanoid features
| - Hyperextensible skin
- Pretibial plaques
| - Severe, early-onset periodontitis with tooth loss
- Vascular complications (eg, aneurysm development)
| - Severe, early-onset periodontitis with tooth loss
- Pretibial plaques
- Vascular complications (eg, aneurysm development)
|