Castori Marco, Colombi Marina
Am J Med Genet C Semin Med Genet. 2015 Mar;169C(1):1-5. doi: 10.1002/ajmg.c.31432.
This issue of the American Journal of Medical Genetics Seminar Series Part C is dedicated to generalized joint hypermobility (gJHM), joint hypermobility syndrome (JHS), and Ehlers-Danlos syndrome, hypermobility type (EDS-HT). gJHM is the best known clinical manifestation of inherited defects of the connective tissue. On the other side, JHS and EDS-HT are actually considered one and the same from a clinical perspective by most practitioners and researchers (i.e., JHS/EDS-HT), and their molecular basis remains unknown. For decades, "non-syndromic" gJHM and JHS/EDS-HT have been thought to be simple clinical curiosities or an asset for the "affected" individual. In recent years, the attention on these partially overlapping phenotypes has increased, as they are now recognized risk factors for a series of non-communicable diseases and long-term disabilities. This series consists of 10 papers focused on three main topics, namely (i) assessment and differential diagnosis of children and adults with gJHM, (ii) systematic presentation of selected key non-articular manifestations of JHS/EDS-HT and actual perception of physiotherapy as the best therapeutic resource for this condition, and (iii) exploration of the available knowledge relating "congenital laxity of tissues" to various dysfunctions of the nervous system during development and adulthood. The contributors hope that this collection raises attention to this fascinating field of knowledge, which seems to have ramifications in virtually all medical disciplines.
本期《美国医学遗传学杂志研讨会系列C》致力于探讨全身关节活动过度(gJHM)、关节活动过度综合征(JHS)和高活动型埃勒斯-当洛综合征(EDS-HT)。gJHM是结缔组织遗传性缺陷最广为人知的临床表现。另一方面,从临床角度来看,大多数从业者和研究人员实际上认为JHS和EDS-HT是同一病症(即JHS/EDS-HT),但其分子基础仍不清楚。几十年来,“非综合征性”gJHM和JHS/EDS-HT一直被认为只是简单的临床奇症,或者是“患病”个体的一种特质。近年来,人们对这些部分重叠的表型的关注有所增加,因为它们现在被认为是一系列非传染性疾病和长期残疾的风险因素。本系列由10篇论文组成,聚焦于三个主要主题,即(i)对患有gJHM的儿童和成人的评估与鉴别诊断;(ii)系统介绍JHS/EDS-HT选定的关键非关节表现,以及将物理治疗视为该病症最佳治疗手段的实际认知;(iii)探索有关“组织先天性松弛”与发育和成年期各种神经系统功能障碍之间的现有知识。撰稿人希望本论文集能引起人们对这个迷人知识领域的关注,该领域似乎在几乎所有医学学科中都有影响。