# Síndrome Ehlers-Danlos

> Página oficial: https://raras.org/doenca/sindrome-ehlers-danlos
> Fonte: Raras.org — Banco de Dados de Doenças Raras em Português (CC BY-NC-SA 4.0)
> Última atualização: 2026-05-07

## Identificadores

- **ORPHA**: 98249 — https://www.orpha.net/en/disease/detail/98249
- **CID-10**: Q79.6
- **OMIM**: none — https://omim.org/entry/none

## Descrição clínica

As Síndromes de Ehlers-Danlos (SED) são um grupo de doenças hereditárias (que passam de pais para filhos) que afetam o tecido conjuntivo do corpo. Elas têm características clínicas (sintomas) e genéticas (causas nos genes) muito variadas, e são marcadas principalmente por articulações excessivamente flexíveis (que se movem mais do que o normal), pele que estica muito (mais elástica que o comum) e tecidos mais frágeis.

## Epidemiologia e herança

- **Prevalência**: Unknown
- **Padrão de herança**: Autosomal dominant, Autosomal recessive, X-linked recessive

## Sinais e sintomas (657 fenótipos HPO)

- **Hálux valgo** — HPO: HP:0001822
- **Aparência facial progeroide** — HPO: HP:0005328
- **Torção testicular** — HPO: HP:0100813
- **Lipodistrofia** — HPO: HP:0009125
- **Atraso de crescimento** — HPO: HP:0001510
- **Ausência de prega palmar** — HPO: HP:0010489
- **Morfologia metafisária anormal** — HPO: HP:0000944
- **Anormalidade dos dentes decíduos** — HPO: HP:0006481
- **Sobrancelha esparsa** — HPO: HP:0045075
- **Cílios esparsos** — HPO: HP:0000653
- **Displasia esquelética** — HPO: HP:0002652
- **Mácula hiperpigmentada** — HPO: HP:0001034
- **Atrofia das cristas alveolares** — HPO: HP:0006308
- **Agenesia dos dentes permanentes** — HPO: HP:0006349
- **Flacidez muscular** — HPO: HP:0010547
- **Morfologia anormal do coração** — HPO: HP:0001627
- **Cifose cervical** — HPO: HP:0002947
- **Morfologia anormal do esterno** — HPO: HP:0000766
- **Nefrolitíase** — HPO: HP:0000787
- **Hemorragia subcutânea** — HPO: HP:0001933
- **Má rotação do intestino delgado** — HPO: HP:0004794
- **Dedo afilado** — HPO: HP:0001238
- **Anormalidade funcional da bexiga** — HPO: HP:0000009
- **Rim em ferradura** — HPO: HP:0000085
- **Fenda labial** — HPO: HP:0410030
- **Hipertensão ocular** — HPO: HP:0007906
- **Pregas palmares diminuídas** — HPO: HP:0006184
- **Sulco nasolabial proeminente** — HPO: HP:0005272
- **Anormalidade da coluna cervical** — HPO: HP:0003319
- **Anormalidade da morfologia do mesentério** — HPO: HP:0100016
- **Anormalidade da pigmentação capilar** — HPO: HP:0009887
- **Distrofia corneana** — HPO: HP:0001131
- **Cicatriz corneana** — HPO: HP:0000559
- **Anormalidade da morfologia da epífise** — HPO: HP:0005930
- **Perda da deambulação** — HPO: HP:0002505
- **Mialgia induzida por exercício** — HPO: HP:0003738
- **Erosão corneana** — HPO: HP:0200020
- **Hipoplasia adrenal** — HPO: HP:0000835
- **Neuropatia sensorial** — HPO: HP:0000763
- **Escoliose toracolombar** — HPO: HP:0002944
- _...e mais 617 sintomas. Ver https://raras.org/doenca/sindrome-ehlers-danlos._

## Genes associados (23)

- **COL1A1** — Collagen alpha-1(I) chain [Disease-causing germline mutation(s) in]
  - Função: Type I collagen is a member of group I collagen (fibrillar forming collagen)
- **FLNA** — Filamin-A [Candidate gene tested in]
  - Função: Promotes orthogonal branching of actin filaments and links actin filaments to membrane glycoproteins. Anchors various transmembrane proteins to the actin cytoskeleton and serves as a scaffold for a wi
- **ADAMTSL2** — ADAMTS-like protein 2 [Candidate gene tested in]
- **PRDM5** — PR domain zinc finger protein 5 [Disease-causing germline mutation(s) in]
  - Função: Sequence-specific DNA-binding transcription factor. Represses transcription at least in part by recruitment of the histone methyltransferase EHMT2/G9A and histone deacetylases such as HDAC1. Regulates
- **ZNF469** — Zinc finger protein 469 [Disease-causing germline mutation(s) in]
  - Função: May be involved in transcriptional regulation
- **DSE** — Dermatan-sulfate epimerase [Disease-causing germline mutation(s) in]
  - Função: Converts D-glucuronic acid to L-iduronic acid (IdoUA) residues. Plays an important role in the biosynthesis of the glycosaminoglycan/mucopolysaccharide dermatan sulfate
- **ADAMTS2** — A disintegrin and metalloproteinase with thrombospondin motifs 2 [Disease-causing germline mutation(s) in]
  - Função: Cleaves the propeptides of type I and II collagen prior to fibril assembly (By similarity). Does not act on type III collagen (By similarity). Cleaves lysyl oxidase LOX at a site downstream of its pro
- **COL5A1** — Collagen alpha-1(V) chain [Disease-causing germline mutation(s) in]
  - Função: Type V collagen is a member of group I collagen (fibrillar forming collagen). It is a minor connective tissue component of nearly ubiquitous distribution. Type V collagen binds to DNA, heparan sulfate
- **COL12A1** — Collagen alpha-1(XII) chain [Disease-causing germline mutation(s) in]
  - Função: Type XII collagen interacts with type I collagen-containing fibrils, the COL1 domain could be associated with the surface of the fibrils, and the COL2 and NC3 domains may be localized in the perifibri
- **THBS2** — Thrombospondin-2 [Disease-causing germline mutation(s) in]
  - Função: Adhesive glycoprotein that mediates cell-to-cell and cell-to-matrix interactions. Ligand for CD36 mediating antiangiogenic properties
- **COL3A1** — Collagen alpha-1(III) chain [Disease-causing germline mutation(s) in]
  - Função: Collagen type III occurs in most soft connective tissues along with type I collagen. Involved in regulation of cortical development. Is the major ligand of ADGRG1 in the developing brain and binding t
- **B3GALT6** — Beta-1,3-galactosyltransferase 6 [Disease-causing germline mutation(s) in]
  - Função: Beta-1,3-galactosyltransferase that transfers galactose from UDP-galactose to substrates with a terminal beta-linked galactose residue. Has a preference for galactose-beta-1,4-xylose that is found in
- **CHST14** — Carbohydrate sulfotransferase 14 [Disease-causing germline mutation(s) in]
  - Função: Catalyzes the transfer of sulfate to position 4 of the N-acetylgalactosamine (GalNAc) residue of dermatan sulfate. Plays a pivotal role in the formation of 4-0-sulfated IdoA blocks in dermatan sulfate
- **COL5A2** — Collagen alpha-2(V) chain [Disease-causing germline mutation(s) in]
  - Função: Type V collagen is a member of group I collagen (fibrillar forming collagen). It is a minor connective tissue component of nearly ubiquitous distribution. Type V collagen binds to DNA, heparan sulfate
- **PLOD1** — Procollagen-lysine,2-oxoglutarate 5-dioxygenase 1 [Disease-causing germline mutation(s) in]
  - Função: Part of a complex composed of PLOD1, P3H3 and P3H4 that catalyzes hydroxylation of lysine residues in collagen alpha chains and is required for normal assembly and cross-linkling of collagen fibrils (

## Ensaios clínicos ativos (26)

- **NCT07516496** [RECRUITING]: Metabolic Phenotyping in vEDS — https://clinicaltrials.gov/study/NCT07516496
- **NCT05212129** [RECRUITING]: Auricular Vagal Nerve Stimulation for Hypermobile Ehlers-Danlos Syndrome — https://clinicaltrials.gov/study/NCT05212129
- **NCT04806620** [RECRUITING]: Unhide® Project: A Digital Health Platform to Collect Lifestyle Data for Brain Inflammation Research — https://clinicaltrials.gov/study/NCT04806620
- **NCT06546137** [RECRUITING]: National Network for Cardiovascular Genomics: Advancing Cardiovascular Healthcare for Hereditary Diseases in Brazil's Unified Health System Through a Multicenter Registry — https://clinicaltrials.gov/study/NCT06546137
- **NCT04133272** [RECRUITING]: Registry of Ehlers-Danlos Syndrome — https://clinicaltrials.gov/study/NCT04133272
- **NCT02050113** [RECRUITING]: Complex Aortic Aneurysm Repair Using Physician Modified Endografts and Custom Made Devices — https://clinicaltrials.gov/study/NCT02050113
- **NCT05432466** [RECRUITING]: Clinical Trial to Compare the Efficacy of Celiprolol to Placebo in Patients With Vascular Ehlers-Danlos Syndrome — https://clinicaltrials.gov/study/NCT05432466
- **NCT05871216** [RECRUITING]: Functional Instability in Patients Suffering From Collagen Disease and Joint Hypermobility — https://clinicaltrials.gov/study/NCT05871216
- **NCT04310644** [RECRUITING]: Autonomic Small Fiber Neuropathy and Ehlers Danlos Syndromes - Prospective Study and Registry — https://clinicaltrials.gov/study/NCT04310644
- **NCT06539169** [RECRUITING]: FLOWER: Following Longitudinal Outcomes With Epidemiology for Rare Diseases — https://clinicaltrials.gov/study/NCT06539169

## Centros de referência no Brasil (24)

- Hospital Universitário Prof. Edgard Santos (HUPES) (Salvador/BA)
- Hospital Infantil Albert Sabin (Fortaleza/CE)
- Hospital de Apoio de Brasília (HAB) (Brasília/DF)
- Hospital Estadual Infantil e Maternidade Alzir Bernardino Alves (HIABA) (Vila Velha/ES)
- Hospital das Clínicas da UFG (Goiânia/GO)
- Hospital Universitário da UFJF (Juiz de Fora/MG)
- Hospital das Clínicas da UFMG (Belo Horizonte/MG)
- Hospital Universitário Julio Müller (HUJM) (Cuiabá/MT)
- Hospital Universitário João de Barros Barreto (Belém/PA)
- Hospital Universitário Lauro Wanderley (HULW) (João Pessoa/PB)
- Instituto de Medicina Integral Prof. Fernando Figueira (IMIP) (Recife/PE)
- Hospital Pequeno Príncipe (Curitiba/PR)
- Hospital Universitário Regional de Maringá (HUM) (Maringá/PR)
- Hospital de Clínicas da UFPR (Curitiba/PR)
- Hospital Universitário Pedro Ernesto (HUPE-UERJ) (Rio de Janeiro/RJ)
- Instituto Nacional de Saúde da Mulher, da Criança e do Adolescente Fernandes Figueira (IFF/Fiocruz) (Rio de Janeiro/RJ)
- Hospital São Lucas da PUCRS (Porto Alegre/RS)
- Hospital de Clínicas de Porto Alegre (HCPA) (Porto Alegre/RS)
- Hospital Universitário da UFSC (HU-UFSC) (Florianópolis/SC)
- Hospital das Clínicas da FMUSP (São Paulo/SP)

## Doenças relacionadas (por similaridade fenotípica)

- [Síndrome Ehlers-Danlos espondilodisplásico B4GALT7-relacionado](https://raras.org/doenca/sindrome-ehlers-danlos-espondilodisplasico-b4galt7-relacionado) — ORPHA:75496 — 175 sintomas em comum
- [Síndrome Ehlers-Danlos vascular](https://raras.org/doenca/sindrome-ehlers-danlos-vascular) — ORPHA:286 — 128 sintomas em comum
- [Síndrome Ehlers-Danlos músculo-contratural](https://raras.org/doenca/sindrome-ehlers-danlos-musculo-contratural) — ORPHA:2953 — 116 sintomas em comum
- [Síndrome Ehlers-Danlos espondilodisplásico B3GALT6-relacionado](https://raras.org/doenca/sindrome-ehlers-danlos-espondilodisplasico-b3galt6-relacionado) — ORPHA:536467 — 109 sintomas em comum
- [Síndrome Loyes-Dietz](https://raras.org/doenca/sindrome-loyes-dietz) — ORPHA:60030 — 107 sintomas em comum
- [Síndrome Ehlers-Danlos espondilodisplásico](https://raras.org/doenca/sindrome-ehlers-danlos-espondilodisplasico) — ORPHA:536471 — 105 sintomas em comum
- [Síndrome Ehlers-Danlos tipo 6 cifoscoliótico por deficiência de lisil hidroxilase](https://raras.org/doenca/sindrome-ehlers-danlos-tipo-6-cifoscoliotico-por-deficiencia-de-lisil-hidroxilase) — ORPHA:1900 — 96 sintomas em comum
- [Monossomia parcial do cromossomo 19](https://raras.org/doenca/monossomia-parcial-do-cromossomo-19) — ORPHA:261841 — 92 sintomas em comum
- [Síndrome Ehlers-Danlos semelhante ao clássico tipo 2](https://raras.org/doenca/sindrome-ehlers-danlos-semelhante-ao-classico-tipo-2) — ORPHA:536532 — 91 sintomas em comum
- [Síndrome Ehlers-Danlos clássico](https://raras.org/doenca/sindrome-ehlers-danlos-classico) — ORPHA:287 — 89 sintomas em comum

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Pacientes devem consultar profissionais de saúde qualificados para decisões clínicas.

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