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Correspondence
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Volume 343:366-368 August 3, 2000 Number 5
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Ehlers–Danlos Syndrome Type IV

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 by Pyeritz, R. E.
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 by Pepin, M.
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To the Editor: As one of the medical advisers to the Ehlers–Danlos Support Group in Britain, I have examined and advised more than a dozen families with Ehlers–Danlos syndrome type IV. I would like to draw attention to a few clinical features that did not appear to be present in the large series of patients studied by Pepin et al. (March 9 issue).1 In my experience, teenage boys are at high risk for arterial rupture, which is often fatal. This may be because during the prepubertal growth spurt, the defective collagen is further weakened. In addition, patients who undergo surgery . . . [Full Text of this Article]

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