Common Symptoms in Ehlers Danlos Syndrome
General EDS skin traits include:
Easy bruising, delayed wound healing, differing types of scarring.
Thinner skin than normal, especially in the Vascular type.
Those with VEDS have translucent skin where the blood vessels below are clearly visible.
Soft, velvety skin that is fragile and sometimes highly elastic (stretchy) is found, especially in the Classical type.
CEDS may cause wounds that split open with little bleeding and leave scars that widen over time to create characteristic shallow “cigarette paper” scars.
Surgical incisions may present problems with healing, with stitching EDS skin sometimes described as “like sewing butter.” often requiring sutures being closer together and left in for a longer time than usual.
With severe CEDS, even just leaning on the table with your elbows can cause the skin to split or may have molluscoid pseudotumors on elbows and knees. (molluscoid pseudotumors are small, spongy tumors consisting of fat surrounded by a fibrous capsule found over scars and pressure points).
Skin that sags and wrinkles is characteristic of the Dermatosparaxis type of EDS. Extra (redundant) folds of skin may be present as affected children get older.
Skin hyperextensibility to some degree occurs in all types of EDS except Vascular.
People with EDS tend to have low body temperatures, may have trouble controlling their body temperatures when exposed to heat or cold, and many have blood pressure problems.
Some have dilated aortic roots, incompetent heart valves, and autonomic dystonia or POTS.
Many people with EDS bruise very easily and often severely.
It can be difficult for a medical professional to “feel” EDS pulses.
Mitral valve prolapse is not a sign of EDS, though someone with EDS may have MVP; it is not diagnostic for this syndrome. In some types, arteries including the aortas are very fragile and can rupture causing a medical emergency.
IV (intravenous) access and even sometimes simply drawing blood for testing may require multiple attempts; using a “butterfly” needle and syringe is much more successful than the use of a vaccutainer which draws the blood rapidly by the use of suction.
Poor balance, severe headaches including migraines.
Decreased deep tendon reflexes.
Intracranial vascular abnormalities.
Brain “fog”, a sense of not being present; absence of focus or a lack of clarity
Spinal stenosis (narrowing of spinal column) and/or scoliosis.Â
Chiari malformation occurs in some EDS patients.
Half of all EDS patients have a hypermobile tongue, and are able to touch at least the end of their nose with it easily.
A high palate and crowded baby and adult teeth are common, even though many EDS patients have smaller than normal teeth. The high palate and smaller teeth can make fitting dentures very difficult even when explained to the dentist prior to the dentures being made.
Pre-molar and molar teeth often have high cusps and deep fissures with root problems, and enamel hypoplasia can cause decay and possible early extractions. Sometimes teeth actually crumble when losing the enamel.
Patients with Classical type offer suffer with juvenile periodontal disease.
All EDSers are cavity prone, and have increased bleeding from anywhere in the oral cavity due to the fragility of tissues.
Braces can cause problems as they can damage the gums and tongue while moving teeth quickly.
TMJ pain and clicking occur in about 30% of the general population, and about the same incidence occurs in EDSers.
Often if in a dental chair with your mouth open for an extended period of time, the joint will repeatedly sublux.Â
Lidocaine often works poorly or not at all with EDS patients.
Some people with EDS complain of always feeling like there is a lump in their throat when swallowing, and often have other swallowing and voice problems.Â
Gastrointestinal complications of EDS run literally from one end to the other.
Frequently EDSers suffer from reflux and GERD, stemming from an incompetent esophageal sphincter that allows stomach acid to backflow up the esophagus and cause burns in it.
Diverticula have been seen throughout the G.I. tract.
Tissue extensibility and laxity can also cause lack of contraction of the stomach, causing food to not move down into the intestines.
Megacolon and rectal prolapse may also occur, primarily in childhood but megacolon is also seen in adults.
Irritable bowel syndrome is a common co-diagnosis.Â
An EDSer may have many different eye problems depending on the type of Ehlers-Danlos they have including blue sclera, microcornea, epicanthic folds, and wide-spaced eyes.Â
Many EDSers are photophobic, some squint causing an “angry” appearance and angiod streaks.
Loose tendons and ligaments around the eye create hard working muscles that get tired.
Strabismus is the medical terms for eye conditions commonly called by these various names: eye turns, crossed eyes, cross-eyed, wall-eyes, wandering eyes, deviating eye.
Myopia, astigmatism, and early presbyopia (a vision condition in which the crystalline lens of your eye loses its flexibility, making it difficult to focus on close objects) occur often in EDS patients.
Dry eyes are a common and uncomfortable problem.
Other EDS related problems are detached retinas and ectopia (displaced) lenses.
Pain with Ehlers-Danlos syndrome can range from none to chronic debilitating pain. It is subjective, individual, and different for each of us.Â
Some with EDS do not have pain; others develop it later in life, and others begin to suffer severe pain as children.
Often pain is undertreated in children, the elderly, and minorities.
Medications often used with EDS are: muscle relaxants, NSAIDS, steroids, lidocaine patches, antidepressants, narcotic and nonnarcotic pain medications.Â
Pain can be completely debilitating and keep you from needed sleep.