Hypermobility spectrum disorders (HSD) are connective tissue disorders characterized by symptomatic joint hypermobility than cannot be explained by other conditions. HSD are diagnosed after other possible conditions have been excluded, such as any of the Ehlers-Danlos syndromes (EDS) including hypermobile EDS (hEDS).
The essential difference between HSD and hEDS lies in the stricter criteria for hEDS compared to the HSD. If someone was diagnosed with hEDS before the 2017 criteria, there's no cause to seek a new diagnosis unless they decide to participate in new research or need to be reassessed for some other reason.
Hypermobility spectrum disorders include all people with what used to be called joint hypermobility syndrome, and before that benign joint hypermobility syndrome.
Joint hypermobility syndrome is when you have very flexible joints and it causes you pain (you may think of yourself as being double-jointed). It usually affects children and young people and often gets better as you get older.
Joint hypermobility syndrome is diagnosed through a physical exam as well as a test or questionnaire on your flexibility. While there's no cure, symptoms can be managed by keeping your joints strong and taking medication. Talk to your healthcare provider if you have severe symptoms.
There is no test for hEDS, so diagnosis involves looking for joint hypermobility, signs of faulty connective tissue throughout the body (e.g. skin features, hernias, prolapses), a family history of the condition, and musculoskeletal problems (e.g. long-term pain, dislocations).
A much rarer group of connective tissue disorders is called Ehlers-Danlos syndrome. Unlike the diseases noted above, Ehlers-Danlos syndrome is not an autoimmune condition, it's an inherited disorder.
We, and many expert clinicians believe that HSD and hypermobile EDS (hEDS) are more common than currently recognized. However, it is also important to remember that most types of EDS are rare to ultra-rare.
You do not usually need to worry if you only have a few symptoms and they're not causing any problems. Joint hypermobility, for example, is relatively common, affecting around 1 in 30 people. So it's unlikely to be caused by EDS if you do not have any other symptoms.
Hypermobile EDS is the least severe type of this disorder Common signs of hypermobile EDS include: Joint hypermobility in your pelvis, hips, shoulders, elbows, knees, fingers, and toes. Stretchy skin. Tendency to bruise easily.
Symptoms of Ehlers-Danlos syndromes (EDS) There are several types of EDS that may share some symptoms. These include: an increased range of joint movement (joint hypermobility)
Hypermobile Ehlers-Danlos syndrome (hEDS) is generally considered the least severe type of EDS, although significant complications, primarily musculoskeletal, can and do occur. The skin is often soft and may be mildly hyperextensible.
You must also show other signs of the syndrome. These additional symptoms can include frequent dislocation of joints such as jaw, shoulder, or knee cap, chronic fatigue, chronic muscle and bone pain, some heart conditions, elastic skin, bruising easily, and repeated sprains or rolling of the ankles.
The 2022 edition of ICD-10-CM Q79.6 became effective on October 1, 2021.
Group of inherited disorders of the connective tissue; major manifestations include hyperextensible skin and joints, easy bruisability, friability of tissues with bleeding and poor wound healing, calcified subcutaneous spheroids, and pseudotumors. Code History.
Other systemic involvement of connective tissue 1 M35 should not be used for reimbursement purposes as there are multiple codes below it that contain a greater level of detail. 2 The 2021 edition of ICD-10-CM M35 became effective on October 1, 2020. 3 This is the American ICD-10-CM version of M35 - other international versions of ICD-10 M35 may differ.
The 2022 edition of ICD-10-CM M35 became effective on October 1, 2021.
Disorders of optic nerve, not elsewhere classified 1 H47.0 should not be used for reimbursement purposes as there are multiple codes below it that contain a greater level of detail. 2 The 2021 edition of ICD-10-CM H47.0 became effective on October 1, 2020. 3 This is the American ICD-10-CM version of H47.0 - other international versions of ICD-10 H47.0 may differ.
The 2022 edition of ICD-10-CM H47.0 became effective on October 1, 2021.
The 2022 edition of ICD-10-CM M35.2 became effective on October 1, 2021.
Other signs and symptoms include arthritis, deep vein thrombosis and superficial thrombophlebitis. Behcet's syndrome is a disease that involves inflammation of the blood vessels. It causes problems in many parts of the body.
Various submissions have to me made and, once these are recommended, the World Health Authority process (from consideration through to implementation) then typically takes in the region of four to five years.
ICD-10 codes are used in clinical care to manage health care, and in research to define diseases and study disease patterns, as well as monitor outcomes and allocate resources.
Until that point, anyone with a diagnosis of Ehlers-Danlos syndrome (whatever the type) had been given the same medical: ICD code Q796.
Diagnosis for hypermobile Ehlers-Danlos syndrome is carried out by clinical evaluation.
I think it helps when you remember that collagen runs through 80% of the body, so affects virtually every system. To borrow a phrase from MCAD savvy Dr. Afrin, a la Occam’s Razor, “do you really think there are 57 different things wrong with your patient, or maybe just a couple underlying systemic conditions that might explain it all?”
With that, here is an unofficial list of common and semi-common comorbidities (besides hypermobility) I’ve observed in the EDS community online: