diff --git a/src/marginalia/parser.clj b/src/marginalia/parser.clj
index 40f9b522a..9c116c7e7 100644
--- a/src/marginalia/parser.clj
+++ b/src/marginalia/parser.clj
@@ -281,10 +281,17 @@
 
 (defmethod dispatch-form 'defprotocol
   [form raw nspace-sym]
-  (let [[ds r s] (extract-common-docstring form raw nspace-sym)]
-    (let [internal-dses (if ds
-                          (extract-internal-docstrings (nthnext form 3))
-                          (extract-internal-docstrings (nthnext form 2)))]
+  (let [[ds r s] (extract-common-docstring form raw nspace-sym)
+        ;; Clojure 1.10 added `:extend-via-metadata` to the `defprotocol` macro.
+        ;; If the flag is present, `extract-internal-docstrings` needs to start
+        ;; 2 forms later, to account for the presence of a keyword,
+        ;; `:extend-via-metadata` and a boolean `true` in the macro body.
+        evm      (contains? (set form) :extend-via-metadata)]
+    (let [internal-dses (cond
+                          (and evm ds) (extract-internal-docstrings (nthnext form 5))
+                          evm          (extract-internal-docstrings (nthnext form 4))
+                          ds           (extract-internal-docstrings (nthnext form 3))
+                          :else        (extract-internal-docstrings (nthnext form 2)))]
       (with-meta
         [ds r s]
         {:internal-docstrings internal-dses}))))
diff --git a/test/marginalia/test/parse.clj b/test/marginalia/test/parse.clj
index 627255734..bbed903d5 100644
--- a/test/marginalia/test/parse.clj
+++ b/test/marginalia/test/parse.clj
@@ -11,6 +11,8 @@
   (is (= (count (marginalia.parser/parse "(ns test)\n\"some string\"")) 1))
   (is (= (count (marginalia.parser/parse "(ns test (:require [marginalia.parser :as parser]))\n(defn foo [] ::parser/foo)")) 1)))
 
+(deftest extend-via-metadata
+  (is (marginalia.parser/parse "(ns test)\n(defprotocol Foo \"Does a Foo\" :extend-via-metadata true (do-foo! [_ opts] \"Foo!\"))")))
 
 (def simple-fn
   "(defn some-fn