Table 1 Revised Brighton diagnostic criteria

Major Criteria

 1. Beighton score of 4/9 or greater

 2. Arthralgia for more than 3 months in 4 or more joints

Minor Criteria

 1. A Beighton score of 1, 2 or 3/9 (0 to 3 if over age 50)

 2. Arthralgia for more than 3 months in 1–3 joints, or back pain ≥3 months, or spondylosis, spondylolysis, spondylolisthesis

 3. Dislocation or subluxation in more than one joint, or in one joint on more than one occasion

 4. Soft tissue rheumatism in 3 or more locations (eg, epicondylitis, tenosynovitis, bursitis)

 5. Marfanoid habitus

 6. Abnormal skin (eg, striae, hyperextensible, thin, or papyraceous scarring)

 7. Eye abnormalities (eg, drooping eyelids, myopia, anti mongoloid slant)

 8. Varicose veins or hernia or uterine/rectal prolapse

JHS is diagnosed in three cases, if present: I) Two major criteria; II) One major and two minor criteria; III) Four minor criteria. The disorder is excluded in those patients with MFS or EDS.