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EHLERS-DANLOS SYNDROME: A Clinical and Genetic Study

EHLERS-DANLOS SYNDROME: A Clinical and Genetic Study Abstract The PAUCITY of the literature on the Ehlers-Danlos syndrome in all fields except pediatrics and dermatology would make one believe that the condition has been arrogated by members of these two groups. It seems, however, that the syndrome should have been recognized and emphasized by others. For instance, the orthopedist should have been recording the joint symptoms; the surgeon, the friability of the skin; the roentgenologist, the roentgenologic findings; the pathologist, the tissue changes; the internist, the ecchymoses and hemorrhages, and the geneticist, the familial characteristics. The syndrome, according to Ronchese1 is characterized by (1) hyperlaxity and hyperextensibility of the joints, (2) hyperelasticity and hyperlaxity of the skin and (3) friability and fragility of the skin and blood vessels, with breaking, splitting and formation of hematomas and pseudotumors subsequent to the slightest trauma. The severity of these characteristics may vary among different persons and References 1. Ronchese, F.: Dermatorrhexis, with Dermatochalasis and Arthrochalasis (So-Called Ehlers-Danlos Syndrome) , Am. J. Dis. Child. 51:1403 ( (June) ) 1936.Crossref 2. Dermatorrhexis (Ehlers-Danlos Syndrome) Urol. & Cutan. Rev. 47:581, 1943. 3. Schubert, P.: Cutis laxa , Zentralbl. f. Haut- u. Geschlechtskr. 16:162, 1925. 4. Smith, C. H.: Dermatorrhexis (Ehlers-Danlos Syndrome) , J. Pediat. 14:632, 1939. 5. Margarot, J.; Deveze, P., and Coll de Carrera: L'hyperlaxité familiale de la peau et des articulations (syndrome de Danlos) , Montpellier méd. 3:133, 1933. 6. Hyperlaxité cutanée et articulaire (syndrome de Danlos) existant chez trois membres d'une même famille , Bull. Soc. franç. de dermat. et syph. 40:277, 1933. 7. Sullivan, J. D.: The Danlos-Ehlers Syndrome: Report of Case with Transient Paralysis of Vocal Cord , Arch. Neurol. & Psychiat. 47:316 ( (Feb.) ) 1942. 8. Raybaud, A., and Guidoni, R.: Hyperlaxité ligamentaire et cutanée: Troubles du métabolisme calcique; Maladie d'Ehlers-Danlos , Bull. et mém. Soc. méd. d. hôp. de Paris 54:738, 1938. 9. Benjamin, B., and Weiner, H.: Syndrome of Cutaneous Fragility and Hyperelasticity and Articular Hyperlaxity , Am. J. Dis. Child. 65:247 ( (Feb.) ) 1943. 10. Schulmann, E., and Lévy-Coblentz, G.: Hyperélasticité cutanée (cutis laxa) et laxité articulaire avec fragilité anormale de la peau et tumeurs molluscoïdes post-traumatiques (syndrome de Danlos) , Bull. Soc. franç. de dermat. et syph. 39:1252, 1932. 11. Pittinos, G. E.: Ehlers-Danlos Syndrome with a Disturbance of Creatine Metabolism , J. Pediat. 19:85, 1941. 12. Rocher, H. L.; Petges, G., and LeCoulant, P.: Hyperélasticité articulaire et hyperélasticité cutanée d'origine congénitale dystrophique (syndrome d'Ehlers-Danlos) , Rev. d'orthop. 21:673, 1934. 13. Lowe, J.: Ehlers-Danlos Syndrome , Proc. Roy. Soc. Med. 32:1027, 1939. 14. Burrows, A.: Epidermolysis Bullosa with Cutis Hyperelastica , Proc. Roy. Soc. Med. 25:1319, 1932. 15. Poumeau-Delille, G., and Soulié, P: Un cas d'hyperlaxité cutanée et articulaire avec cicatrices atrophiques et pseudo-tumeurs molluscoïdes, (syndrome d'Ehlers-Danlos) , Bull. et mém. Soc. méd. d.hôp. de Paris 50:593, 1934. 16. Ehlers, E.: Cutis laxa, Neigung zu Haemorrhagien in der Haut, Lockerung mehrerer Artikulationen , Dermat. Ztschr. 8:173, 1901. 17. Debré, R., and Semelaigne G.: A propos de la maladie d'Ehlers-Danlos chez le nourrisson , Bull. et mém. Soc. méd. d.hôp. de Paris 57:849, 1938. 18. Tobias, N.: Danlos Syndrome Associated with Congenital Lipomatosis , Arch. Dermat. & Syph. 30:540 ( (Oct.) ) 1934. 19. Murray, J. E., and Tyars, M. E.: A Case of Ehlers-Danlos Syndrome , Brit. M. J. 1:974, 1940. 20. Gordon, H.: Ehlers-Danlos Syndrome , Proc. Roy. Soc. Med. 35:263, 1942. 21. Dreyfus, G.; Weill, J.; Martineau, J., and Mathivat, A.: Un cas de maladie d'Ehlers-Danlos , Bull. et mém. Soc. méd. d.hôp. de Paris 52:1463, 1936. 22. Barber, H. S.; Fiddes, J., and Benians, T. H. C.: The Syndrome of Ehlers-Danlos , Brit. J. Dermat. 53:97, 1941.Crossref 23. Danlos Syndrome, presented from clinics of Washington University School of Medicine , Arch. Dermat. & Syph. 40:137 ( (July) ) 1939. 24. Roca, C. A., and Loiacono, G. J.: Sindrome d'Ehlers-Danlos , Semana méd. 49:887, 1942. 25. Bolam, M.: A Case of Ehlers-Danlos Syndrome , Brit. J. Dermat. 50:174, 1938. 26. Brown, A., and Stock, V. F.: Dermatorrhexis: Report of a Case , Am. J. Dis. Child. 54:956 ( (Oct.) ) 1937. 27. van Aardenne, J.: Dermatorrhexis with Dermatochalasis and Arthrochalasis (Danlos-Ehlers Syndrome) , Maandschr. v. kindergeneesk. 8:187, 1939. 28. Capurro, R.: Cutis laxa, hematomas, atrofias cutáneas, hipotonía muscular, laxitud articular , Arch. latino-am. de pediat. 20:173, 1926. 29. Thurman, F. M.: Ehlers-Danlos Syndrome , Arch. Dermat. & Syph. 40:120 ( (July) ) 1939. 30. Smith.2b Benjamin and Weiner.5 31. Launay, C.: Syndrome d'Ehlers-Danlos chez un garçon de onze ans associé à une arriération mentale , Bull. et mém. Soc. méd. d. hôp. de Paris 56:709, 1940. 32. Weber, F. P., and Aitken, J. K.: Nature of the Subcutaneous Spherules in Some Cases of the Ehlers-Danlos Syndrome , Lancet 1:198, 1938. 33. Gilbert, A.; Villaret, M., and Bosviel, G.: Sur un cas d'hyperélasticité congénitale des ligaments articulaires et de la peau , Bull. et mém. Soc. méd. d. hôp. de Paris 49:303, 1925. 34. Benjamin and Weiner.5 35. Shaw, A. B., and Hopkins, P.: A Case of a Boy, Aged 7, Showing 36. Double-jointedness, 37. Dermatolysis ("Elastic Skin") with Great Friability of the Skin and Excessive Tendency to Bruising and 38. Multiple Subcutaneous Tumors on the Limbs (?Fibromata, ?Neuromata) , Proc. Roy. Soc. Med. (Clin. Sect.) 6:20, 1912-1913. 39. Dreyfus, Weill, Martineau and Mathivat.17 40. Weber, F. P.: Ehlers-Danlos Syndrome , Proc. Roy. Soc. Med. 32:1026, 1939. 41. Cathala, J.: Cutis laxa et syndrome d'Ehlers-Danlos , Arch. de méd. d. enf. 40:107, 1937. 42. Hallopeau, H., and Léspinay, M.: Sur un cas de xanthome tubéreux et en tumeurs juvénile offrant les caractéres du xanthome diabétique , Bull. Soc. franç. de dermat. et syph. 17:283, 1906. 43. Tobias, N.: Danlos' Syndrome, Associated with Congenital Lipomatosis , Arch. Dermat. & Syph. 40:135 ( (July) ) 1939. 44. Dreyfus, Weill, Martineau and Mathivat.17 45. Roca and Loiacono.20 46. Holt, J. F.: The Ehlers-Danlos Syndrome , Am. J. Roentgenol. 55:420, 1946. 47. Debré and Semelaigne.13 Shaw and Hopkins.29b 48. Barber, Tiddes and Benians.18. 49. Stillians, A. W., and Zakon, S. J.: Cutis Laxa (Cutis Hyperelastica) Arch. Dermat. & Syph. 35:342 ( (Feb.) ) 1937. 50. Navarro Martin, A., and Aguilera Maruri, C.: Un caso de cutis laxa y lesiones atróficas de tipo eritromiélico , Actas dermo-sif. 25:126, 1932. 51. Miguet, A.: Le syndrome d'Ehlers-Danlos, Thesis, Paris, Louis Arnette, 1933. 52. Weber, F. P.: Chalasodermia or "Loose Skin" and Its Relationship to Subcutaneous Fibrous or Calcareous Nodules , Urol. & Cutan. Rev. 27:407, 1923. 53. Williams, A. W.: Cutis Laxa , Monatsh. f. prakt. Dermat. 14:490, 1892. 54. Pautrier, M.: Note histologique sur un cas de cutis elastica, avec pseudotumeurs aux génaux et aux caudes, prèsenté par M. Danlos , Bull. Soc. franç. de dermat. et syph. 19:72, 1908. 55. Smith.2b 56. Tobias.14c 57. Weber.36e 58. Williams.37 59. Ormsby, O., and Tobin, W. W.: Cutis Hyperelastica , Arch. Dermat. & Syph. 38:828 ( (Nov.) ) 1938. 60. Burrows, A., and Turnbull, H. M.: Cutis Hyperelastica (Ehlers-Danlos Syndrome) , Brit. J. Dermat. 50:648, 1938. 61. Navarro Martin and Aquilera Maruri.36c 62. Reyn, A.: Cutis Laxa , Hospitalstid. 76:961, 1933. 63. Coe, M., and Silvers, S. H.: Ehlers-Danlos Syndrome (Cutis Hyperelastica) , Am. J. Dis. Child. 59:129 ( (Jan.) ) 1940. 64. Rambar, A. C.: Ehlers-Danlos Syndrome , J. Pediat. 12:592, 1938. 65. Ormsby and Tobin.39e 66. Unna, P. G.: The Histopathology of the Diseases of the Skin , translated from the German with the assistance of the author by N. Walker, New York, Macmillan & Co., 1896. 67. Smith.2b Pittinos.7 68. Tobias.14 69. Barber, Tiddes and Benians.18 70. Weber and Aitken.27 71. Weber, F. P., and Aitken, J. K.: Subcutaneous Movable Spherules in the Ehlers-Danlos Syndrome , Proc. Roy. Soc. Med. 31:553, 1938. 72. Scolari, E.: The Ehlers-Danlos Syndrome: Histology of the So-Called Molluscoid Pseudo-Tumours , Gior. ital. di dermat. e sif. 78:577, 1937. 73. Ronchese.1a 74. Benjamin and Weiner.5 75. Shaw and Hopkins.29b 76. Rambar.42 77. Skeer, J., and Kaplan, A. A.: Ehlers-Danlos Syndrome , Arch. Dermat. & Syph. 42:450 ( (Sept.) ) 1940. 78. Sézary, A.; Azérad, E.; Miget, A. and Deparis: Syndrome d'Ehlers-Danlos , Bull. Soc. franç. de dermat. et syph. 40:1287, 1933. 79. Hirszfeldowa, H., and Sterling, W.: Konstitutionelle Mesenchymosen ; abstracted, Zentralbl. f. Haut- u. Geschlechtskr. 16:803, 1924. 80. Kopp: Demonstration zweier Fälle von "Cutis Laxa," München. med. Wchnschr. 35:259, 1888. 81. Dobrosworskaya, N. W.: Cutis hyperplastica ; abstracted, Zentralbl. f. Haut- u. Geschlechtskr. 15:437, 1924. 82. Tobias.14 Roca and Loiacono.20 83. Bielschowsky, F.: Beitrag zur Klinik und Pathologie der Lipatrophia circumscripta (Cutis laxa) , Deutsches Arch. f. Klin. Med. 166:96, 1930. 84. Weber, F. P.: The Ehlers-Danlos Syndrome , Brit. J. Dermat. 48:609, 1936. 85. Benjamin and Weiner.5 Rambar.42 86. Ormsby and Tobin.39e Rambar.42 Skeer and Kaplan.47e 87. Taylor, F. R.: The Meekrin-Ehlers-Danlos Syndrome , Urol. & Cutan. Rev. 47:378, 1943. 88. Stuart, A. M.: Three Cases Exhibiting the Ehlers-Danlos Syndrome , Proc. Roy. Soc. Med. 30:984, 1937. 89. Goldsmith, W. N.: Ehlers-Danlos Syndrome , Proc. Roy. Soc. Med. 32:1027, 1939. http://www.deepdyve.com/assets/images/DeepDyve-Logo-lg.png Archives of Dermatology and Syphilology American Medical Association

EHLERS-DANLOS SYNDROME: A Clinical and Genetic Study

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American Medical Association
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Copyright © 1949 American Medical Association. All Rights Reserved.
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0096-6029
DOI
10.1001/archderm.1949.01530010085006
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Abstract

Abstract The PAUCITY of the literature on the Ehlers-Danlos syndrome in all fields except pediatrics and dermatology would make one believe that the condition has been arrogated by members of these two groups. It seems, however, that the syndrome should have been recognized and emphasized by others. For instance, the orthopedist should have been recording the joint symptoms; the surgeon, the friability of the skin; the roentgenologist, the roentgenologic findings; the pathologist, the tissue changes; the internist, the ecchymoses and hemorrhages, and the geneticist, the familial characteristics. The syndrome, according to Ronchese1 is characterized by (1) hyperlaxity and hyperextensibility of the joints, (2) hyperelasticity and hyperlaxity of the skin and (3) friability and fragility of the skin and blood vessels, with breaking, splitting and formation of hematomas and pseudotumors subsequent to the slightest trauma. The severity of these characteristics may vary among different persons and References 1. Ronchese, F.: Dermatorrhexis, with Dermatochalasis and Arthrochalasis (So-Called Ehlers-Danlos Syndrome) , Am. J. Dis. Child. 51:1403 ( (June) ) 1936.Crossref 2. Dermatorrhexis (Ehlers-Danlos Syndrome) Urol. & Cutan. Rev. 47:581, 1943. 3. Schubert, P.: Cutis laxa , Zentralbl. f. Haut- u. Geschlechtskr. 16:162, 1925. 4. Smith, C. H.: Dermatorrhexis (Ehlers-Danlos Syndrome) , J. Pediat. 14:632, 1939. 5. Margarot, J.; Deveze, P., and Coll de Carrera: L'hyperlaxité familiale de la peau et des articulations (syndrome de Danlos) , Montpellier méd. 3:133, 1933. 6. Hyperlaxité cutanée et articulaire (syndrome de Danlos) existant chez trois membres d'une même famille , Bull. Soc. franç. de dermat. et syph. 40:277, 1933. 7. Sullivan, J. D.: The Danlos-Ehlers Syndrome: Report of Case with Transient Paralysis of Vocal Cord , Arch. Neurol. & Psychiat. 47:316 ( (Feb.) ) 1942. 8. Raybaud, A., and Guidoni, R.: Hyperlaxité ligamentaire et cutanée: Troubles du métabolisme calcique; Maladie d'Ehlers-Danlos , Bull. et mém. Soc. méd. d. hôp. de Paris 54:738, 1938. 9. Benjamin, B., and Weiner, H.: Syndrome of Cutaneous Fragility and Hyperelasticity and Articular Hyperlaxity , Am. J. Dis. Child. 65:247 ( (Feb.) ) 1943. 10. Schulmann, E., and Lévy-Coblentz, G.: Hyperélasticité cutanée (cutis laxa) et laxité articulaire avec fragilité anormale de la peau et tumeurs molluscoïdes post-traumatiques (syndrome de Danlos) , Bull. Soc. franç. de dermat. et syph. 39:1252, 1932. 11. Pittinos, G. E.: Ehlers-Danlos Syndrome with a Disturbance of Creatine Metabolism , J. Pediat. 19:85, 1941. 12. Rocher, H. L.; Petges, G., and LeCoulant, P.: Hyperélasticité articulaire et hyperélasticité cutanée d'origine congénitale dystrophique (syndrome d'Ehlers-Danlos) , Rev. d'orthop. 21:673, 1934. 13. Lowe, J.: Ehlers-Danlos Syndrome , Proc. Roy. Soc. Med. 32:1027, 1939. 14. Burrows, A.: Epidermolysis Bullosa with Cutis Hyperelastica , Proc. Roy. Soc. Med. 25:1319, 1932. 15. Poumeau-Delille, G., and Soulié, P: Un cas d'hyperlaxité cutanée et articulaire avec cicatrices atrophiques et pseudo-tumeurs molluscoïdes, (syndrome d'Ehlers-Danlos) , Bull. et mém. Soc. méd. d.hôp. de Paris 50:593, 1934. 16. Ehlers, E.: Cutis laxa, Neigung zu Haemorrhagien in der Haut, Lockerung mehrerer Artikulationen , Dermat. Ztschr. 8:173, 1901. 17. Debré, R., and Semelaigne G.: A propos de la maladie d'Ehlers-Danlos chez le nourrisson , Bull. et mém. Soc. méd. d.hôp. de Paris 57:849, 1938. 18. Tobias, N.: Danlos Syndrome Associated with Congenital Lipomatosis , Arch. Dermat. & Syph. 30:540 ( (Oct.) ) 1934. 19. Murray, J. E., and Tyars, M. E.: A Case of Ehlers-Danlos Syndrome , Brit. M. J. 1:974, 1940. 20. Gordon, H.: Ehlers-Danlos Syndrome , Proc. Roy. Soc. Med. 35:263, 1942. 21. Dreyfus, G.; Weill, J.; Martineau, J., and Mathivat, A.: Un cas de maladie d'Ehlers-Danlos , Bull. et mém. Soc. méd. d.hôp. de Paris 52:1463, 1936. 22. Barber, H. S.; Fiddes, J., and Benians, T. H. C.: The Syndrome of Ehlers-Danlos , Brit. J. Dermat. 53:97, 1941.Crossref 23. Danlos Syndrome, presented from clinics of Washington University School of Medicine , Arch. Dermat. & Syph. 40:137 ( (July) ) 1939. 24. Roca, C. A., and Loiacono, G. J.: Sindrome d'Ehlers-Danlos , Semana méd. 49:887, 1942. 25. Bolam, M.: A Case of Ehlers-Danlos Syndrome , Brit. J. Dermat. 50:174, 1938. 26. Brown, A., and Stock, V. F.: Dermatorrhexis: Report of a Case , Am. J. Dis. Child. 54:956 ( (Oct.) ) 1937. 27. van Aardenne, J.: Dermatorrhexis with Dermatochalasis and Arthrochalasis (Danlos-Ehlers Syndrome) , Maandschr. v. kindergeneesk. 8:187, 1939. 28. Capurro, R.: Cutis laxa, hematomas, atrofias cutáneas, hipotonía muscular, laxitud articular , Arch. latino-am. de pediat. 20:173, 1926. 29. Thurman, F. M.: Ehlers-Danlos Syndrome , Arch. Dermat. & Syph. 40:120 ( (July) ) 1939. 30. Smith.2b Benjamin and Weiner.5 31. Launay, C.: Syndrome d'Ehlers-Danlos chez un garçon de onze ans associé à une arriération mentale , Bull. et mém. Soc. méd. d. hôp. de Paris 56:709, 1940. 32. Weber, F. P., and Aitken, J. K.: Nature of the Subcutaneous Spherules in Some Cases of the Ehlers-Danlos Syndrome , Lancet 1:198, 1938. 33. Gilbert, A.; Villaret, M., and Bosviel, G.: Sur un cas d'hyperélasticité congénitale des ligaments articulaires et de la peau , Bull. et mém. Soc. méd. d. hôp. de Paris 49:303, 1925. 34. Benjamin and Weiner.5 35. Shaw, A. B., and Hopkins, P.: A Case of a Boy, Aged 7, Showing 36. Double-jointedness, 37. Dermatolysis ("Elastic Skin") with Great Friability of the Skin and Excessive Tendency to Bruising and 38. Multiple Subcutaneous Tumors on the Limbs (?Fibromata, ?Neuromata) , Proc. Roy. Soc. Med. (Clin. Sect.) 6:20, 1912-1913. 39. Dreyfus, Weill, Martineau and Mathivat.17 40. Weber, F. P.: Ehlers-Danlos Syndrome , Proc. Roy. Soc. Med. 32:1026, 1939. 41. Cathala, J.: Cutis laxa et syndrome d'Ehlers-Danlos , Arch. de méd. d. enf. 40:107, 1937. 42. Hallopeau, H., and Léspinay, M.: Sur un cas de xanthome tubéreux et en tumeurs juvénile offrant les caractéres du xanthome diabétique , Bull. Soc. franç. de dermat. et syph. 17:283, 1906. 43. Tobias, N.: Danlos' Syndrome, Associated with Congenital Lipomatosis , Arch. Dermat. & Syph. 40:135 ( (July) ) 1939. 44. Dreyfus, Weill, Martineau and Mathivat.17 45. Roca and Loiacono.20 46. Holt, J. F.: The Ehlers-Danlos Syndrome , Am. J. Roentgenol. 55:420, 1946. 47. Debré and Semelaigne.13 Shaw and Hopkins.29b 48. Barber, Tiddes and Benians.18. 49. Stillians, A. W., and Zakon, S. J.: Cutis Laxa (Cutis Hyperelastica) Arch. Dermat. & Syph. 35:342 ( (Feb.) ) 1937. 50. Navarro Martin, A., and Aguilera Maruri, C.: Un caso de cutis laxa y lesiones atróficas de tipo eritromiélico , Actas dermo-sif. 25:126, 1932. 51. Miguet, A.: Le syndrome d'Ehlers-Danlos, Thesis, Paris, Louis Arnette, 1933. 52. Weber, F. P.: Chalasodermia or "Loose Skin" and Its Relationship to Subcutaneous Fibrous or Calcareous Nodules , Urol. & Cutan. Rev. 27:407, 1923. 53. Williams, A. W.: Cutis Laxa , Monatsh. f. prakt. Dermat. 14:490, 1892. 54. Pautrier, M.: Note histologique sur un cas de cutis elastica, avec pseudotumeurs aux génaux et aux caudes, prèsenté par M. Danlos , Bull. Soc. franç. de dermat. et syph. 19:72, 1908. 55. Smith.2b 56. Tobias.14c 57. Weber.36e 58. Williams.37 59. Ormsby, O., and Tobin, W. W.: Cutis Hyperelastica , Arch. Dermat. & Syph. 38:828 ( (Nov.) ) 1938. 60. Burrows, A., and Turnbull, H. M.: Cutis Hyperelastica (Ehlers-Danlos Syndrome) , Brit. J. Dermat. 50:648, 1938. 61. Navarro Martin and Aquilera Maruri.36c 62. Reyn, A.: Cutis Laxa , Hospitalstid. 76:961, 1933. 63. Coe, M., and Silvers, S. H.: Ehlers-Danlos Syndrome (Cutis Hyperelastica) , Am. J. Dis. Child. 59:129 ( (Jan.) ) 1940. 64. Rambar, A. C.: Ehlers-Danlos Syndrome , J. Pediat. 12:592, 1938. 65. Ormsby and Tobin.39e 66. Unna, P. G.: The Histopathology of the Diseases of the Skin , translated from the German with the assistance of the author by N. Walker, New York, Macmillan & Co., 1896. 67. Smith.2b Pittinos.7 68. Tobias.14 69. Barber, Tiddes and Benians.18 70. Weber and Aitken.27 71. Weber, F. P., and Aitken, J. K.: Subcutaneous Movable Spherules in the Ehlers-Danlos Syndrome , Proc. Roy. Soc. Med. 31:553, 1938. 72. Scolari, E.: The Ehlers-Danlos Syndrome: Histology of the So-Called Molluscoid Pseudo-Tumours , Gior. ital. di dermat. e sif. 78:577, 1937. 73. Ronchese.1a 74. Benjamin and Weiner.5 75. Shaw and Hopkins.29b 76. Rambar.42 77. Skeer, J., and Kaplan, A. A.: Ehlers-Danlos Syndrome , Arch. Dermat. & Syph. 42:450 ( (Sept.) ) 1940. 78. Sézary, A.; Azérad, E.; Miget, A. and Deparis: Syndrome d'Ehlers-Danlos , Bull. Soc. franç. de dermat. et syph. 40:1287, 1933. 79. Hirszfeldowa, H., and Sterling, W.: Konstitutionelle Mesenchymosen ; abstracted, Zentralbl. f. Haut- u. Geschlechtskr. 16:803, 1924. 80. Kopp: Demonstration zweier Fälle von "Cutis Laxa," München. med. Wchnschr. 35:259, 1888. 81. Dobrosworskaya, N. W.: Cutis hyperplastica ; abstracted, Zentralbl. f. Haut- u. Geschlechtskr. 15:437, 1924. 82. Tobias.14 Roca and Loiacono.20 83. Bielschowsky, F.: Beitrag zur Klinik und Pathologie der Lipatrophia circumscripta (Cutis laxa) , Deutsches Arch. f. Klin. Med. 166:96, 1930. 84. Weber, F. P.: The Ehlers-Danlos Syndrome , Brit. J. Dermat. 48:609, 1936. 85. Benjamin and Weiner.5 Rambar.42 86. Ormsby and Tobin.39e Rambar.42 Skeer and Kaplan.47e 87. Taylor, F. R.: The Meekrin-Ehlers-Danlos Syndrome , Urol. & Cutan. Rev. 47:378, 1943. 88. Stuart, A. M.: Three Cases Exhibiting the Ehlers-Danlos Syndrome , Proc. Roy. Soc. Med. 30:984, 1937. 89. Goldsmith, W. N.: Ehlers-Danlos Syndrome , Proc. Roy. Soc. Med. 32:1027, 1939.

Journal

Archives of Dermatology and SyphilologyAmerican Medical Association

Published: Jul 1, 1949

References