# Ehlers-Danlos Syndrome: A Tale of Two Cases Highlighting Rare Subtypes and Diagnostic Considerations

**Authors:** Karubaki Pati, Saumya R Tripathy, Sarit S Patnaik, Manoj K Parida, Bidyut K Das

PMC · DOI: 10.7759/cureus.93109 · 2025-09-24

## TL;DR

This paper discusses two rare Ehlers-Danlos Syndrome cases that were initially misdiagnosed, highlighting the importance of accurate diagnosis using updated criteria.

## Contribution

The paper presents two rare EDS cases that demonstrate the need for updated diagnostic approaches in atypical presentations.

## Key findings

- Two young individuals with complex symptoms were initially misclassified under common EDS subtypes.
- Comprehensive evaluation and updated criteria led to revised diagnoses.
- The cases emphasize the diagnostic challenges and the need for systematic assessment in EDS.

## Abstract

Ehlers-Danlos syndrome (EDS) comprises a group of rare connective tissue disorders marked by multisystem involvement and considerable clinical variability. This report presents two cases of young individuals with complex medical histories involving joint hypermobility, musculoskeletal deformities, ocular abnormalities, and unexplained cardiovascular symptoms. Both cases were initially misclassified under more common subtypes of EDS. However, comprehensive clinical evaluation and application of updated classification criteria led to a re-evaluation of the initial diagnoses. These cases highlight the diagnostic challenges posed by EDS and emphasize the need for heightened clinical suspicion and systematic assessment when encountering atypical presentations.

## Linked entities

- **Diseases:** Ehlers-Danlos syndrome (MONDO:0020066), connective tissue disorders (MONDO:0003900)

## Full-text entities

- **Diseases:** EDS (MESH:D004535), ocular abnormalities (MESH:D005124), cardiovascular symptoms (MESH:D002318), musculoskeletal deformities (MESH:D009140), joint hypermobility (MESH:D007593)

## Figures

7 figures with captions in the complete paper: https://tomesphere.com/paper/PMC12551611/full.md

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Source: https://tomesphere.com/paper/PMC12551611