Phenotype details |
joint hypermobility was noted with remaining distal hypermobility and recurrent dislocations of small joints and shoulders. She also presented moderate scoliosis, halluces valgi, pedes cavi and piezogenic papulae. Her skin was soft, doughy, and hyperextensible (almost cutis laxa-like) with increased fragility and multiple atrophic scars. She showed no increased skin translucency, but there was easy bruising with a history of haematomas. Besides varicose veins and a carotid stenosis at age 62 years, there were no other vascular complications and echocardiography and echo-doppler of the supra- aortic vessels showed no abnormalities besides a mild mitral valve prolapse. Her facial features included mild hypertelorism, light blue sclerae and a premature aged appearance. |