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September 8, 2026International Journal of Molecular SciencesOpen Access

Clinical Variability of Classical Ehlers–Danlos Syndrome: A Family with Rare COL5A1 Variant and Case-Based Review

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Authors

KAKarina E. AkhiiarovaЕЛЕ. Н. ЛогиноваRKR.R. Kildiyarova

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Overview

Family case report demonstrates phenotypic variability in classical Ehlers-Danlos syndrome, expanding the clinical spectrum of a rare COL5A1 variant.

Key Points

  • To describe the clinical variability of classical Ehlers–Danlos syndrome across three generations in a family carrying a rare COL5A1 pathogenic variant and review its associated phenotype.
  • Clinical and genetic assessment of a three-generation family presenting with classical-type Ehlers–Danlos syndrome.
  • Identification and evaluation of the rare pathogenic variant NM_000093.5(COL5A1):c.4050dup (p.Gly1351fs) alongside a case-based literature review.
  • Identified marked phenotypic polymorphism and variable disease severity among family members carrying the identical COL5A1 frameshift variant.
  • Clarified and expanded the clinical and phenotypic spectrum linked to the rare NM_000093.5(COL5A1):c.4050dup (p.Gly1351fs) variant.

Cite This Study

Akhiiarova et al. (2026) studied this question.

synapsesocial.com/papers/6a9fd7e758e84d0ff5b46f56https://doi.org/10.3390/ijms27177952
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  5. 5A Homozygous Missense COL1A1 Variant (p.Glu684Lys) Associated with an Arthrochalasia-like Ehlers–Danlos Syndrome Phenotype: A Case Report2026