COL1A1 is commonly associated with Ehlers-Danlos Syndrome (EDS) phenotype inherited in an autosomal dominant pattern caused by heterozygous variants. However, in rare instances, patients with homozygous variants in COL1A1 gene have been shown to display EDS-like phenotype. This EDS-like phenotype inherited in an autosomal recessive fashion is characterised by skin and joint laxity, hypotonia, craniofacial dysmorphism and absent reflexes.