International Scholarly Research Notices / 2012 / Article / Tab 3

Review Article

Ehlers-Danlos Syndrome, Hypermobility Type: An Underdiagnosed Hereditary Connective Tissue Disorder with Mucocutaneous, Articular, and Systemic Manifestations

Table 3

The Brighton criteria for JHS.

The Brighton criteria

Major criteria
 Beighton score ≥ 4/9
 Arthralgia for >3 months in >4 joints
Minor criteria
 Beighton score of 1–3
 Arthralgia in 1–3 joints
 History of joint dislocations
 Soft-tissue lesions > 3
 Marfan-like habitus
 Skin striae, hyperextensibility, or scarring
 Eye signs, lid laxity
 History of varicose veins, hernia, visceral prolapse

Adapted from [9].
Note 1: criteria major 1 and minor 1 are mutually exclusive as are major 2 and minor 2.
Note 2: for the diagnosis of the joint hypermobility syndrome: both major, or 1 major and 2 minor, or 4 minor criteria, or 2 minor criteria and one or more first-degree affected relative(s).
Note 3: diagnosis of joint hypermobility syndrome needs previous (clinical/molecular) exclusion of other overlapping heritable connective tissue disorders, such as Marfan syndrome and other Ehlers-Danlos syndrome subtypes.

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