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In the evaluation of the young trumpet player shown in the photograph in the article in the MEDICAL NEWS section of JAMA, we did consider Ehlers-Danlos syndrome. This individual was seen by one of our rheumatologists with this in mind. While this individual did have hyperextensive joints, there was no other evidence of Ehlers-Danlos syndrome. Specifically, none of the skin changes, blood vessel changes, or facies were present. There was also no family history, as best we could tell, of this disorder. The skeletal changes, dentition changes, and gastrointestinal findings that have been described were not found in this individual.
Levine H. Musicians and Their Conditions: Pros and Cons-Reply. JAMA. 1985;253(12):1723. doi:10.1001/jama.1985.03350360049014