Ehlers-Danlos syndrome, hypermobility type: A characterization of the patients' lived experience

• Published in: American journal of medical genetics. Part A Vol. 161A; no. 12; pp. 2981 - 2988
• Main Authors: Murray, Brittney, Yashar, Beverly M., Uhlmann, Wendy R., Clauw, Daniel J., Petty, Elizabeth M.
• Format: Journal Article
• Language: English
• Published: United States Blackwell Publishing Ltd 01-12-2013; Wiley Subscription Services, Inc
• Subjects: Anxiety; Arthralgia - complications; Arthralgia - physiopathology; chronic pain; connective tissue disorders; Diagnosis; disability; Ehlers-Danlos syndrome; Ehlers-Danlos Syndrome - complications; Ehlers-Danlos Syndrome - genetics; Ehlers-Danlos Syndrome - physiopathology; Extremities - physiopathology; Fatigue - physiopathology; Female; Fibromyalgia; Humans; hypermobility; Joint Instability - physiopathology; joint laxity; lived experience; Male; Mental depression; Pain; Quality of Life; Skin; Type III; Type III; chronic pain; Ehlers-Danlos syndrome; disability; connective tissue disorders; lived experience; joint laxity; hypermobility
• ISSN: 1552-4825; 1552-4833
• DOI: 10.1002/ajmg.a.36293

ABSTRACT
Hypermobility type Ehlers–Danlos syndrome (EDS‐HT) is an inherited connective tissue disorder clinically diagnosed by the presence of significant joint hypermobility and associated skin manifestations. This article presents a large‐scale study that reports the lived experience of EDS‐HT patients, the broad range of symptoms that individuals with EDS‐HT experience, and the impact these symptoms have on daily functioning. A 237‐item online survey, including validated questions regarding pain and depression, was developed. Four hundred sixty‐six (466) adults (90% female, 52% college or higher degree) with a self‐reported diagnosis of EDS‐HT made in a clinic or hospital were included. The most frequently reported symptoms were joint pain (99%), hypermobility (99%), and limb pain (91%). They also reported a high frequency of other conditions including chronic fatigue (82%), anxiety (73%), depression (69%), and fibromyalgia (42%). Forty‐six percent of respondents reported constant pain often described as aching and tiring/exhausting. Despite multiple interventions and therapies, many individuals (53%) indicated that their diagnosis negatively affected their ability to work or attend school. Our results show that individuals with EDS‐HT can experience a wide array of symptoms and co‐morbid conditions. The degree of constant pain and disability experienced by the majority of EDS‐HT respondents is striking and illustrates the impact this disorder has on quality of life as well as the clinical challenges inherent in managing this complex connective tissue disorder. © 2013 Wiley Periodicals, Inc.