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  <title>illandchill</title>
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  <pubDate>Sat, 28 Mar 2026 17:45:04 GMT</pubDate>
  <title>Myopathic Ehlers-Danlos Syndrome (COL12A1)</title>
  <link>https://illandchill.dreamwidth.org/341.html</link>
  <description>NOTE: I am &lt;u&gt;not&lt;/u&gt; a medical professional, nor am I providing medical advice. This is purely educational and is intended to help patients or caregivers find information on rare types of Ehlers-Danlos syndrome and rare gene variants that can then, for example, be given to medical professionals to aid in their care.&lt;br /&gt;&lt;br /&gt;In literature, this type of EDS is often used interchangeably with the terms &amp;quot;Bethlem Myopathy 2,&amp;quot; especially in the ClinVar database. &lt;a href=&quot;https://www.ncbi.nlm.nih.gov/clinvar/?term=COL12A1%5Bgene%5D&quot; target=&quot;_blank&quot;&gt;ClinVar&lt;/a&gt; currently lists only 149 &lt;em&gt;known&lt;/em&gt; pathogenic/likely pathogenic variants in the COL12A1 gene. On the other hand, there are 1,991 variants in the COL12A1 gene that are variants of uncertain significance.&lt;br /&gt;&lt;br /&gt;Synonyms listed on the &lt;a href=&quot;https://rarediseases.org/mondo-disease/bethlem-myopathy-2/&quot; target=&quot;_blank&quot;&gt;NORD&lt;/a&gt; website include: Bethlem myopathy 2, Bethlem myopathy caused by mutation in COL12A1, and myopathic Ehlers-Danlos Syndrome. I have also found that mEDS is often described as &amp;quot;Bethlem myopathy/Ehlers-Danlos overlap syndrome.&amp;quot; Another condition that is typically grouped with mEDS (especially regarding COL12A1 variants) is Ullrich congenital muscular dystrophy type 2 (UCMD2); however, from what I can tell UCMD2 is a bit clinically different from mEDS (though it still has many similarities).&lt;br /&gt;&lt;br /&gt;&lt;b&gt;Bethlem Myopathy 2&lt;/b&gt; is characterized by hypotonia (low muscle tone) and myopathy (disease of the muscle) at birth. Joint contractures, or when your joints and muscles tighten causing a deformity, can also occur alongside joint hypermobility. (&lt;a href=&quot;https://www.omim.org/entry/616471&quot; target=&quot;_blank&quot;&gt;OMIM&lt;/a&gt;)&lt;br /&gt;&lt;br /&gt;&lt;b&gt;Ullrich congenital muscle dystrophy-2&lt;/b&gt; is characterized by joint hypermobility, joint contractures, and muscle weakness prior to walking. (&lt;a href=&quot;https://www.omim.org/entry/616470?search=Ullrich%20congenital%20muscular%20dystrophy%20type%202&amp;amp;highlight=2%2Ccongenital%2Cdystrophy%2Cmuscular%2Ctype%2Cullrich&quot; target=&quot;_blank&quot;&gt;OMIM&lt;/a&gt;)&lt;br /&gt;&lt;br /&gt;&lt;b&gt;Myopathic Ehlers-Danlos Syndrome&lt;/b&gt; is characterized by hypotonia and/or muscle weakness at birth, joint contractures, and joint hypermobility. It may also cause soft/doughy skin and atrophic scarring. (&lt;a href=&quot;https://www.orpha.net/en/disease/detail/536516&quot; target=&quot;_blank&quot;&gt;Orphanet&lt;/a&gt;)&lt;br /&gt;&lt;br /&gt;Below is a list of papers published that relate to or directly mention COL12A1 variants, myopathic EDS, Bethlem Myopathy 2, and UCMD2. Articles that I &lt;i&gt;know&lt;/i&gt; without a doubt are peer reviewed are marked with asterisks (*). Only five of these papers are not open-access and will require you to access them through &lt;a href=&quot;https://drive.proton.me/urls/EAGNMW8C8R#m1RyqsBzPblT&quot; target=&quot;_blank&quot;&gt;this&lt;/a&gt; link. The papers are password protected, so please message me on here, on &lt;a href=&quot;https://www.reddit.com/user/PickleNarrow5109/&quot; target=&quot;_blank&quot;&gt;reddit&lt;/a&gt;, or email me at: illandchill@mailbox.org to gain access. Also, &lt;strong&gt;please&lt;/strong&gt; message me on any of those places if you have found any papers not listed here. Please also let me know if any of these links break.&lt;br /&gt;&lt;br /&gt;Lots of love, V.&lt;br /&gt;&lt;br /&gt;&lt;b&gt;Papers&lt;/b&gt;&lt;br /&gt;&lt;br /&gt;&lt;a href=&quot;https://univ-angers.hal.science/hal-03978287/file/COL12A1_AJMGA_2022%20hal-03978287.pdf&quot; target=&quot;_blank&quot;&gt;Ehlers-Danlos/myopathy overlap syndrome caused by a large de novo deletion in COL12A1&lt;/a&gt; *&lt;br /&gt;&lt;br /&gt;&lt;a href=&quot;https://pubmed.ncbi.nlm.nih.gov/24334769/&quot; target=&quot;_blank&quot;&gt;Mutations in the collagen XII gene define a new form of extracellular matrix-related myopathy&lt;/a&gt; * - not open access&lt;br /&gt;&lt;br /&gt;&lt;a href=&quot;https://pmc.ncbi.nlm.nih.gov/articles/PMC5236000/&quot; target=&quot;_blank&quot;&gt;A novel COL12A1 variant expands the clinical picture of congenital myopathies with extracellular matrix defects&lt;/a&gt; *&lt;br /&gt;&lt;br /&gt;&lt;a href=&quot;https://pmc.ncbi.nlm.nih.gov/articles/PMC3976332/&quot; target=&quot;_blank&quot;&gt;Recessive and dominant mutations in COL12A1 cause a novel EDS/myopathy overlap syndrome in humans and mice&lt;/a&gt;&amp;nbsp;*&lt;br /&gt;&lt;br /&gt;&lt;a href=&quot;https://www.gimjournal.org/article/S1098-3600(21)01096-0/fulltext&quot; target=&quot;_blank&quot;&gt;Novel defects in collagen XII and VI expand the mixed myopathy/Ehlers-Danlos syndrome and lead to variant-specific alterations in the extracellular matrix&lt;/a&gt;&amp;nbsp;*&lt;br /&gt;&lt;br /&gt;&lt;a href=&quot;https://pubmed.ncbi.nlm.nih.gov/29342313/&quot; target=&quot;_blank&quot;&gt;Collagen XII myopathy with rectus femoris atrophy and collagen XII retention in fibroblasts&lt;/a&gt;&amp;nbsp;* - not open access&lt;br /&gt;&lt;br /&gt;&lt;a href=&quot;https://www.ncbi.nlm.nih.gov/pubmed/31509352&quot; target=&quot;_blank&quot;&gt;Dominant collagen XII mutations cause a distal myopathy&lt;/a&gt;&amp;nbsp;*&lt;br /&gt;&lt;br /&gt;&lt;a href=&quot;https://www.ncbi.nlm.nih.gov/pubmed/39129837&quot; target=&quot;_blank&quot;&gt;COL12A1 Gene Variant and a Review of the Literature: A Case Report of Ullrich Congenital Muscular Dystrophy&lt;/a&gt;&amp;nbsp;*&lt;br /&gt;&lt;br /&gt;&lt;a href=&quot;https://www.ncbi.nlm.nih.gov/pubmed/37353357&quot; target=&quot;_blank&quot;&gt;Homozygous splice site variant affecting the first von Willebrand factor A domain of COL12A1 in a patient with myopathic Ehlers-Danlos syndrome&lt;/a&gt;&amp;nbsp;*&lt;br /&gt;&lt;br /&gt;&lt;a href=&quot;https://onlinelibrary.wiley.com/doi/10.1111/nan.13004&quot; target=&quot;_blank&quot;&gt;A novel homozygous nonsense variant in COL12A1 causes myopathic Ehlers-Danlos syndrome: A case report and literature review&lt;/a&gt;&amp;nbsp;* - not open access&lt;br /&gt;&lt;br /&gt;&lt;a href=&quot;https://link.springer.com/article/10.1007/s11033-023-08644-6&quot; target=&quot;_blank&quot;&gt;Whole exome sequencing identifies a novel variant in the COL12A1 gene in a family with Ullrich congenital muscular dystrophy 2&lt;/a&gt;&amp;nbsp;* - not open access&lt;br /&gt;&lt;br /&gt;&lt;a href=&quot;https://pmc.ncbi.nlm.nih.gov/articles/PMC9689997/&quot; target=&quot;_blank&quot;&gt;Ehlers-Danlos: A Literature Review and Case Report in a Colombian Woman with Multiple Comorbidities&lt;/a&gt;&amp;nbsp;*&lt;br /&gt;&lt;br /&gt;&lt;a href=&quot;https://pmc.ncbi.nlm.nih.gov/articles/PMC11920742/&quot; target=&quot;_blank&quot;&gt;Clinical characterization of Collagen XII-related disease caused by biallelic COL12A1 variants&lt;/a&gt;&amp;nbsp;*&lt;br /&gt;&lt;br /&gt;&lt;a href=&quot;https://www.sciencedirect.com/science/article/pii/S1769721225000643&quot; target=&quot;_blank&quot;&gt;COL12A1-related myopathic Ehlers-Danlos syndrome with Chiari I malformation: A clinical report&lt;/a&gt;&amp;nbsp;*&lt;br /&gt;&lt;br /&gt;&lt;a href=&quot;https://www.sciencedirect.com/science/article/pii/S1769721225000643&quot; target=&quot;_blank&quot;&gt;Ullrich congenital muscular dystrophy: Connective tissue abnormalities in the skin support overlap with Ehlers-Danlos syndromes&lt;/a&gt;&amp;nbsp;*&lt;br /&gt;&lt;br /&gt;&lt;a href=&quot;https://www.mdpi.com/2073-4425/13/2/265&quot; target=&quot;_blank&quot;&gt;The Ehlers-Danlos Syndromes against the Backdrop of Inborn Errors of Metabolism&lt;/a&gt;&amp;nbsp;*&lt;br /&gt;&lt;br /&gt;&lt;a href=&quot;https://onlinelibrary.wiley.com/doi/full/10.1002/ajmg.c.31550&quot; target=&quot;_blank&quot;&gt;The Ehlers-Danlos syndromes, rare types&lt;/a&gt;&lt;br /&gt;&lt;br /&gt;&lt;a href=&quot;https://www.mdpi.com/1422-0067/26/11/5387&quot; target=&quot;_blank&quot;&gt;Myopathic Ehlers-Danlos Syndrome (mEDS) Related to COL12A1: Two Novel Families and Literature Review&lt;/a&gt;&amp;nbsp;*&lt;br /&gt;&lt;br /&gt;&lt;a href=&quot;https://www.nmd-journal.com/article/S0960-8966(19)30932-0/abstract&quot; target=&quot;_blank&quot;&gt;Recessive COL12A1 loss of function EDS/myopathy overlap syndrome: confirmation and expansion of a consistently severe phenotype&lt;/a&gt;&amp;nbsp;*&lt;br /&gt;&lt;br /&gt;&lt;a href=&quot;https://www.nmd-journal.com/article/S0960-8966(13)00554-3/abstract&quot; target=&quot;_blank&quot;&gt;Collagen type XII: A new congenital matrix and muscle disease&lt;/a&gt;&amp;nbsp;* - not open access&lt;br /&gt;&lt;br /&gt;&lt;a href=&quot;https://onlinelibrary.wiley.com/doi/full/10.1111/odi.70000&quot; target=&quot;_blank&quot;&gt;A Novel COL12A1 Mutation Causes Oral Tissue Abnormalities by Regulating Gingival Fibroblast Function&lt;/a&gt;&amp;nbsp;*&lt;br /&gt;&lt;br /&gt;&lt;a href=&quot;https://www.nmd-journal.com/article/S0960-8966(13)00553-1/abstract&quot; target=&quot;_blank&quot;&gt;Collagen XII as a new disease gene for Bethlem-like myopathy&lt;/a&gt;&amp;nbsp;*&lt;br /&gt;&lt;br /&gt;&lt;a href=&quot;https://journals.lww.com/neur/fulltext/2023/71060/collagen_xii_related_myopathy__an_emerging.28.aspx&quot; target=&quot;_blank&quot;&gt;Collagen XII-Related Myopathy: An Emerging Spectrum of Extracellular Matrix-Related Myopathy&lt;/a&gt;&amp;nbsp;*&lt;br /&gt;&lt;br /&gt;&lt;img src=&quot;https://www.dreamwidth.org/tools/commentcount?user=illandchill&amp;ditemid=341&quot; width=&quot;30&quot; height=&quot;12&quot; alt=&quot;comment count unavailable&quot; style=&quot;vertical-align: middle;&quot;/&gt; comments</description>
  <comments>https://illandchill.dreamwidth.org/341.html</comments>
  <category>col12a1</category>
  <category>myopathy</category>
  <category>myopathic eds</category>
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