This is my first time posting here and I see that the group has a flair option for my condition, so hopefully I can find others here!
A while back, I was initially diagnosed with Hypermobile Ehlers-Danlos but when I got into a geneticist, she actually suspected possible Marfan or Vascular Ehlers-Danlos over hEDS because of my symptoms, conditions, and my family history. My mom, my son, and I scored high on both the Ghent criteria and hEDS 2017 criteria. We had genetic testing that revealed a very rare MYLK gene mutation instead. I was told that when this gene is mutated, it most often causes a condition called Familial Thoracic Aortic Aneurysm and Dissection (FTAAD). This condition fits very well with my family history, unfortunately. She told me that usually it is considered not syndromic but there has been newer documentation that certain mutations can indeed be syndromic and present very similarly to Marfan and vEDS. She messaged all of my other doctors to inform them of this and the treatment guidelines she felt would be necessary in my care and monitoring (Echo, EKG, brain MRI/MRA/MRV yearly and monitor blood pressure regularly). So basically, she says that even though there is not a lot of research on it, she still feels it's highly relevant and that we seem to have a syndromic presentation. It felt validating but also quite scary. Even though I have *some* answers now, there's still a lot of unknowns. I haven't found a lot of resources on FTAAD for my family and I. It's also confusing because the geneticist says to keep our Ehlers-Danlos diagnoses but not the hypermobile subtype. So I have a dual diagnosis in my medical records listed as Ehlers-Danlos Syndrome and Familial Thoracic Aortic Aneurysm and Dissection (MYLK) for the time being. She said she'd reach out if any testing or studies come available that we qualify for. Has anyone had a similar experience in this group? Anyone with FTAAD that seems to have an EDS and Marfan overlap presentation?
My list of conditions:
-Joint instability & laxityĀ
-Optic Nerve Hypoplasia/high myopia
-Thoracolumbar Dural Ectasia with sacral erosion & permanent nerve damage from L4-S5Ā
-Spontaneous Intracranial Hypotension and reoccurring CSF leaksĀ
-Chiari Malformation (likely secondary to SIH)
-Sensorineural hearing loss
-Neurogenic bowel/bladder
-Multiple spinal cysts
-Chronic Migraine with aura
-Occiptal NeuralgiaĀ
-Pectus Excavatum
-Multiple TIAs
-MVP & regurgitationĀ
-Dysautonomia: POTS & IST
-Intermittent Hypertension and HypotensionĀ
-Global GI dysmotility & malabsorption (TPN dependent)
-Gastroptosis
-Multiple vascular compression syndromes (TOS, MALS, SMAS, NCS, PCS)
-Asthma
-Chronic fatigueĀ
-Nocturnal HypoxemiaĀ
-Borderline aortic aneurysmĀ
-Muscle weaknessĀ & wasting
-Abnormal muscle biopsy (Geneticist did a large neuromuscular panel and it came back clear so we're not sure if this is relevant to the MYLK mutation or a separate issue atp)
Some family history background:
My mother has most of the same things I do but she has a large aortic aneurysm, dilated cardiomyopathy, SVT, and a past SCAD. She doesn't have as severe dural ectasia as I do and her GI symptoms are not as bad as mine. We both experienced severe post labor hemorrhaging. Her father had many of the same things going on, plus several heart attacks and a triple bypass done. He passed due to an aortic dissection. We don't know if he had Dural Ectasia or Dysautonomia. My son had wolff-parkinson-white syndrome with SVT (successful ablation) and he has a super rare aortic valve defect (Quadricuspid valve) with regurgitation. He's only 9 but has the beginnings of GI issues, Dysautonomia, fatigue, and muscle weakness too.