One issue that is rarely discussed in depth within the literature on hypermobile Ehlers-Danlos syndrome (hEDS) is the question of diagnostic drift. Diagnostic drift refers to the gradual expansion or loosening of diagnostic boundaries in clinical practice, whereby a condition begins to include a broader and more heterogeneous group of patients than those originally defined by formal diagnostic criteria. In the context of hEDS, this is not a minor technical issue. It has impor
