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经典型埃勒斯-当洛斯综合征的研究进展

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埃勒斯-当洛斯综合征(EDS)是一种累及全身多系统的遗传性异质性结缔组织疾病.经典型EDS(cEDS)是最常见的一型,主要由Ⅴ型胶原蛋白α1基因或V型胶原蛋白α2基因突变所致.cEDS的典型临床特征是皮肤弹性过度、萎缩性瘢痕和关节过度活动.1998年Villefranche疾病分类明确EDS分型的同时,提出了疾病的诊断标准.目前cEDS尚无标准化的治疗方案,对此病的管理主要包括治疗、监测和预防并发症.现对近年来国内外cEDS的病因和发病机制、临床表现、诊断和鉴别诊断、治疗等方面研究现状进行综述.
Update of classic Ehlers-Danlos syndrome
Ehlers-Danlos syndrome(EDS)is a hereditary connective tissue disease with genetic heterogeneity,affecting multiple systems throughout the body.The classic EDS(cEDS)is the most common type,mainly attributed to the mutations in collagen type V alpha 1/collagen type V alpha 2(COL5A1/COL5A2).The typical clinical features of cEDS include cutaneous hyperextensibility,atrophic scarring and joint hypermobility.In 1998,EDS was categorized according to the Villefranche nosology,and simultaneously,the diagnostic criteria for EDS were put forward.Currently,there is no standardized treatment protocol for cEDS,and the management of this disease primarily involves treatment,monitoring and prevention of complications.This paper provides a detailed review of the etiology and pathogenesis,clinical manifestations,diagnosis and differential diagnosis,as well as treatment approaches in cEDS based on current research status at home and abroad.

Ehlers-Donlos syndrome,classicPathogenesisClinical manifestationsDiagnosisDifferential diagnosisTreatment

杨剑秋、周倩倩、李敏

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215000 苏州,苏州大学附属独墅湖医院皮肤科

埃勒斯-当洛斯综合征,经典型 发病机制 临床表现 诊断 鉴别诊断 治疗

苏州市科技计划项目

SZM2021007

2024

实用皮肤病学杂志
中国人民解放军北京军区总医院

实用皮肤病学杂志

CSTPCD
影响因子:0.637
ISSN:1674-1293
年,卷(期):2024.17(3)