Table 4 Clinical features and complications of individuals as categorised by type of COL3A1 variant.

From: Vascular Ehlers-Danlos syndrome in children: evaluating the importance of diagnosis and follow-up during childhood

 

Group 1. Gly missense substitutions

Group 2. splice variants

Group 3. non-Gly missense substitutions

Group 4. Ins/Del/Dup

Group 5. haploinsufficiencyb

Group 6. nonsense substitutions

n = 39

n = 10

n = 3

n = 2

n = 6

n = 3

Located in triple helix domain

39 (100%)

10 (100%)

2 (67%)

2 (100%)

0 (0%)

0 (0%)

Located in C-terminal domain

0 (0%)

0 (0%)

1 (33%)

0 (0%)

4 (67%)a

3 (100%)

Female sex

18 (46%)

5 (50%)

2 (67%)

1 (50%)

3 (50%)

1 (33%)

Index case

13 (33%)

8 (80%)

1 (33%)

1 (50%)

2 (33%)

0 (0%)

Confirmed de novo cases

9 (23%)

3 (30%)

1 (37%)

0 (0%)

0 (0%)

0 (0%)

Confirmed inherited cases

30 (77%)

6 (60%)

2 (100%)

2 (100%)

6 (100%)

3 (100%)

Median age at last follow up

11 (7–15)

16 (7–17)

8 (5–11)

12 (9–15)

16 (10–18)

14 (13–14)

Median age at diagnosis

7 (2–12)

8 (6–13)

4 (3–9)

8 (5–12)

10 (6–16)

11 (9–12)

≥1 event in childhood

8 (20%)

3 (30%)

0 (0%)

2 (100%)

0 (0%)

0 (0%)

Median age at first event

5 (0–11)

15 (14-16)

n/a

8 (4–11)

n/a

n/a

Vascular event

1 (5%)

0 (0%)

0 (0%)

1 (50%)

0 (0%)

0 (0%)

Gastrointestinal event

4 (11%)

2 (20%)

0 (0%)

0 (0%)

0 (0%)

0 (0%)

Organ rupture event

3 (7%)

2 (20%)

0 (0%)

1 (50%)

0 (0%)

0 (0%)

≥1 minor criteria present

33 (89%)

10 (100%)

3 (100%)

2 (100%)

4 (67%)

3 (100%)

Excessive bruising

30 (79%)a

9 (90%)

3 (100%)

2 (100%)

4 (67%)

3 (100%)

Thin translucent skin

27 (75%)a

8 (80%)

2 (67%)

2 (100%)

3 (75%)a

0 (0%)a

Characteristic facial appearance

16 (52%)a

7 (70%)

2 (67%)

1 (100%)a

2 (50%)a

0 (0%)a

Small joint hypermobility

24 (86%)a

9 (100%)a

2 (100%)a

2 (100%)a

1 (33%)a

2 (100%)a

  1. Median age given in years. Percentages were calculated from available data.
  2. aDenotes percentages calculated from known data, excluding individuals for whom there was no/insufficient comment on presence of specific minor diagnostic criteria.
  3. bVariants resulting in haploinsufficiency were either frameshift deletion-insertions located in the C-terminal domain (n = 4), or interstitial deletions of >100 kilobases encompassing COL3A1 and COL5A2 (n = 2).