| Classical Type: Hereditary Patterns |
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Classical type EDS is inherited in an autosomal dominant manner. Abnormal electrophoretic mobility of the proa1(V) or
proa2(V) chains of collagen type V has been detected in several but not
all families with the Classical Type. Because a highly sensitive
screening method has not yet been developed, the absence of detected
abnormalities by biochemical or molecular analysis does not rule out a
defect in collagen type V. In informative families genetic linkage
studies can be used for prenatal and postnatal diagnosis. Mutation
analysis in individuals is being performed on a research basis. Locus
heterogeneity has been documented (Steinmann et al., 1993). Genetic
linkage to intragenic markers of the COL5A1 or COL5A2 genes has been
excluded in some families. Abnormalities in the collagen fibril
structure can be found in many families by electron microscopy; a
"cauliflower" deformity of collagen fibrils, is characteristic but not
specific.
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