Does anybody here know of any emerging rare EDS genes/differential diagnosis that could have been missed in my genetic testing?
I am and people who have seen me are really struggling to find an answer as to what subtype of EDS or condition I actually have since my genetic testing came back inconclusive and others have started suggesting that maybe we may never find out.
I’m worried that I may have a new or unidentified type of EDS and am appealing to anybody in this group who may have better ideas than I have. Or if you are similar, I would love to hear about what subtype you have and what diagnosis was like for you.
I was born with congenital flat feet and hypermobility alongside some congenital anomalies like sacral dimple, i have always bruised very easily and looked like I had been attacked because I was covered in them all the time. Anyway, my skin features are highly unusual and nobody really knows what to make of them.
Dermatology said I had the skin laxity associated with cutaneous EDS but none of the scars he would expect (no atrophic) and my knees and elbows were in great shape for somebody with EDS since I had no scarring there. I think he only sees cEDS patients so expected this, he said he doesn’t know what it is and reccomened referral by my GP to the London monogenic EDS service in the UK.
I have fragile skin with severe hyperextensibility without any atrophic scars, my skin is doughy, my hands are prematurely aged and wounds tend to look like they heal fine or they heal hypertrophic however they actually take weeks to even start closing at all causing infections. All my mucosal tissues are fragile and bleed/split often including my gums, genitalia and GI tract. Bruising appears with no injuries.
The biggest things for me are the neurological features since I started developing hypotonia (low muscle tone) around 13ish and from there it’s continued to progress and now after my most recent clinical genetics appointment found i had hypotonia, global muscle weakness particularly affecting my hip flexors, brisk reflexes, possible trunctal ataxia and more.
Im being investigated for ankle and knee contractures however we haven’t established whether it was congenital as I was never checked, they seem to be getting worse as I age. They pull my feet into a clubfoot positioning. I also have progressive difficulties in swallowing and inhaling my food and drink causing choking, and my stomach and bowel function.
My eyes are also deteriorating rapidly with ‘aggressive pathological progression‘ of my high myopia and astigmatism and it is resisting all treatments and behaving in unusual and unexpected ways. They think retinal detachment is high risk and likely.
I also have a vascular abnormality involving my aorta and I’m only freshly 18, they thought it was an AAA at first but I’m waiting to see vascular surgery to properly identify what it is but radiology suggested vEDS. I also do not have long armspan or arachnodactyly, in fact my armspan is short and so are my fingers.
Nobody else in my family has any sort of connective tissue or neuromuscular issue, not even so much as a hypermobile fingertip. Genetic testing of these genes turned out with no variants:
ADAMTS2, AEBP1, ALDH18A1, ATP6VOA2, ATP6V1A, ATPTA, B3GALT6, B4GALT7, BGN, C1R, C1S, CBS, CHST14, COL12A1, COL1A1, COL1A2, COL3A1, COL5A1, COL5A2, COL6A1, COL6A2, COL6A3, DSE, EFEMP2, ELN, FBLN5, FBN1, FBN2, FKBP14, GORAB, LOX, LTBP4, PLOD1, PRDM5, PYCR1, RIN2, ROBO3, SKI, SLC39A13, SMAD2, SMAD3, TGFB2, TGFB3, TGFBR1, TGFBR2, TNXB, ZNF469.
TNXB wasn’t fully covered as certain exons had reduced sensitivity, I don’t think THBS2 related EDS was included in this panel but I haven’t had a look properly.
What I’m really looking for is advice on what I’m supposed to do as the NHS are refusing to be involved further because a non EDS specialist clinical genetics diagnosed me with hEDS wrongly so that they could discharge me and the wait list for the neurology appointment I need to re-refer back to genetics is 6 months.
Nobody seems to care about any part of my health issues and to be honest I’m frightened I may die since vascular fragility is a concern before they find out what it is. What genes would you want targeting in an instance like mine and is there anything that is obviously missing that it could be? I thank you for reading down here! 🫶