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Lipodystrophy, familial partial, type 8(FPLD8)

MedGen UID:
1846436
Concept ID:
C5882744
Disease or Syndrome
Synonym: FPLD8
 
Gene (location): ADRA2A (10q25.2)
 
Monarch Initiative: MONDO:0958022
OMIM®: 620679

Definition

Familial partial lipodystrophy type 8 (FPLD8) is an autosomal dominant disorder characterized by abnormal distribution of subcutaneous adipose tissue. Affected individuals showed selective loss of subcutaneous adipose tissue from the limbs, resulting in a muscular appearance, beginning around 13 to 15 years of age. There is also abnormal accumulation of subcutaneous adipose tissue in the dorsal neck and face, as well as in the posterior thoracic and abdominal regions. The disorder is associated with metabolic abnormalities, including diabetes mellitus and hyperlipidemia (Garg et al., 2016). For a general description and a discussion of genetic heterogeneity of familial partial lipodystrophy (FPLD), see 151660. [from OMIM]

Clinical features

From HPO
Hypertensive disorder
MedGen UID:
6969
Concept ID:
C0020538
Disease or Syndrome
The presence of chronic increased pressure in the systemic arterial system.
Hepatomegaly
MedGen UID:
42428
Concept ID:
C0019209
Finding
Abnormally increased size of the liver.
Obstructive sleep apnea syndrome
MedGen UID:
101045
Concept ID:
C0520679
Disease or Syndrome
Obstructive sleep apnea is a common, chronic, complex disease associated with serious cardiovascular and neuropsychologic sequelae and with substantial social and economic costs (Palmer et al., 2003).
Gout
MedGen UID:
42280
Concept ID:
C0018099
Disease or Syndrome
Recurrent attacks of acute inflammatory arthritis of a joint or set of joints caused by elevated levels of uric acid in the blood which crystallize and are deposited in joints, tendons, and surrounding tissues.
Lipodystrophy
MedGen UID:
6111
Concept ID:
C0023787
Disease or Syndrome
Degenerative changes of the fat tissue.
Diabetes mellitus
MedGen UID:
8350
Concept ID:
C0011849
Disease or Syndrome
A group of abnormalities characterized by hyperglycemia and glucose intolerance.
Hyperglycemia
MedGen UID:
5689
Concept ID:
C0020456
Disease or Syndrome
An increased concentration of glucose in the blood.
Elevated circulating creatine kinase concentration
MedGen UID:
69128
Concept ID:
C0241005
Finding
An elevation of the level of the enzyme creatine kinase (also known as creatine phosphokinase (CK; EC 2.7.3.2) in the blood. CK levels can be elevated in a number of clinical disorders such as myocardial infarction, rhabdomyolysis, and muscular dystrophy.
Hyperuricemia
MedGen UID:
149260
Concept ID:
C0740394
Disease or Syndrome
An abnormally high level of uric acid in the blood.
Hypertriglyceridemia
MedGen UID:
167238
Concept ID:
C0813230
Finding
An abnormal increase in the level of triglycerides in the blood.
Acanthosis nigricans
MedGen UID:
54
Concept ID:
C0000889
Disease or Syndrome
A dermatosis characterized by thickened, hyperpigmented plaques, typically on the intertriginous surfaces and neck.
Dorsocervical fat pad
MedGen UID:
636070
Concept ID:
C0520573
Finding
An area of fat accumulation at the back of the neck in the form of a hump.

Professional guidelines

PubMed

Sekizkardes H, Cochran E, Malandrino N, Garg A, Brown RJ
J Clin Endocrinol Metab 2019 Aug 1;104(8):3068-3076. doi: 10.1210/jc.2018-02787. PMID: 31194872Free PMC Article

Recent clinical studies

Etiology

Valerio CM, Muniz RBG, Viola LF, Bartzen Pereira G, Moreira RO, de Sousa Berriel MR, Montenegro Júnior RM, Godoy-Matos AF, Zajdenverg L
Front Endocrinol (Lausanne) 2024;15:1359025. Epub 2024 Apr 3 doi: 10.3389/fendo.2024.1359025. PMID: 38633761Free PMC Article
Loh WJ, Yaligar J, Hooper AJ, Sadananthan SA, Kway Y, Lim SC, Watts GF, Velan SS, Leow MKS, Khoo J
Nutr Diabetes 2024 Feb 6;14(1):3. doi: 10.1038/s41387-024-00260-y. PMID: 38321009Free PMC Article
Foss-Freitas MC, Imam S, Neidert A, Gomes AD, Broome DT, Oral EA
Diabetes Care 2024 Apr 1;47(4):653-659. doi: 10.2337/dc23-1614. PMID: 38300898Free PMC Article
Treiber G, Guilleux A, Huynh K, Bonfanti O, Flaus-Furmaniuk A, Couret D, Mellet N, Bernard C, Le-Moullec N, Doray B, Jéru I, Maiza JC, Domun B, Cogne M, Meilhac O, Vigouroux C, Meikle PJ, Nobécourt E
Diabetes Metab 2023 Mar;49(2):101409. Epub 2022 Nov 15 doi: 10.1016/j.diabet.2022.101409. PMID: 36400409
Lazarte J, Wang J, McIntyre AD, Hegele RA
J Clin Lipidol 2021 Sep-Oct;15(5):653-657. Epub 2021 Jul 19 doi: 10.1016/j.jacl.2021.07.004. PMID: 34340952

Diagnosis

Guidorizzi NR, Valerio CM, Viola LF, Veras VR, Fernandes VO, Lima GEDCP, Flor AC, Araújo JS, Gonçalves Muniz RB, Moreira RO, De Paula FJA, Zajdenverg L, Dantas JR, Godoy-Matos AF, Montenegro Júnior RM, Foss-Freitas MC
Front Endocrinol (Lausanne) 2024;15:1359211. Epub 2024 Jun 3 doi: 10.3389/fendo.2024.1359211. PMID: 38887266Free PMC Article
Valerio CM, Muniz RBG, Viola LF, Bartzen Pereira G, Moreira RO, de Sousa Berriel MR, Montenegro Júnior RM, Godoy-Matos AF, Zajdenverg L
Front Endocrinol (Lausanne) 2024;15:1359025. Epub 2024 Apr 3 doi: 10.3389/fendo.2024.1359025. PMID: 38633761Free PMC Article
Loh WJ, Yaligar J, Hooper AJ, Sadananthan SA, Kway Y, Lim SC, Watts GF, Velan SS, Leow MKS, Khoo J
Nutr Diabetes 2024 Feb 6;14(1):3. doi: 10.1038/s41387-024-00260-y. PMID: 38321009Free PMC Article
Treiber G, Guilleux A, Huynh K, Bonfanti O, Flaus-Furmaniuk A, Couret D, Mellet N, Bernard C, Le-Moullec N, Doray B, Jéru I, Maiza JC, Domun B, Cogne M, Meilhac O, Vigouroux C, Meikle PJ, Nobécourt E
Diabetes Metab 2023 Mar;49(2):101409. Epub 2022 Nov 15 doi: 10.1016/j.diabet.2022.101409. PMID: 36400409
Lazarte J, Wang J, McIntyre AD, Hegele RA
J Clin Lipidol 2021 Sep-Oct;15(5):653-657. Epub 2021 Jul 19 doi: 10.1016/j.jacl.2021.07.004. PMID: 34340952

Therapy

Foss-Freitas MC, Imam S, Neidert A, Gomes AD, Broome DT, Oral EA
Diabetes Care 2024 Apr 1;47(4):653-659. doi: 10.2337/dc23-1614. PMID: 38300898Free PMC Article
Sekizkardes H, Cochran E, Malandrino N, Garg A, Brown RJ
J Clin Endocrinol Metab 2019 Aug 1;104(8):3068-3076. doi: 10.1210/jc.2018-02787. PMID: 31194872Free PMC Article
Kutbay NO, Yurekli BS, Onay H, Altay CT, Atik T, Hekimsoy Z, Saygili F, Akinci B
Eur J Intern Med 2016 Apr;29:37-9. Epub 2016 Jan 7 doi: 10.1016/j.ejim.2015.12.012. PMID: 26775134
Park JY, Javor ED, Cochran EK, DePaoli AM, Gorden P
Metabolism 2007 Apr;56(4):508-16. doi: 10.1016/j.metabol.2006.11.010. PMID: 17379009Free PMC Article
Owen KR, Donohoe M, Ellard S, Hattersley AT
Diabet Med 2003 Oct;20(10):823-7. doi: 10.1046/j.1464-5491.2003.01034.x. PMID: 14510863

Prognosis

Agrawal S, Luan J, Cummings BB, Weiss EJ, Wareham NJ, Khera AV
Diabetes 2024 Jul 1;73(7):1099-1111. doi: 10.2337/db23-0575. PMID: 38345889Free PMC Article
Sekizkardes H, Cochran E, Malandrino N, Garg A, Brown RJ
J Clin Endocrinol Metab 2019 Aug 1;104(8):3068-3076. doi: 10.1210/jc.2018-02787. PMID: 31194872Free PMC Article
Patni N, Li X, Adams-Huet B, Vasandani C, Gomez-Diaz RA, Garg A
J Clin Endocrinol Metab 2019 Apr 1;104(4):1099-1108. doi: 10.1210/jc.2018-01922. PMID: 30418556Free PMC Article
Vantyghem MC, Vincent-Desplanques D, Defrance-Faivre F, Capeau J, Fermon C, Valat AS, Lascols O, Hecart AC, Pigny P, Delemer B, Vigouroux C, Wemeau JL
J Clin Endocrinol Metab 2008 Jun;93(6):2223-9. Epub 2008 Mar 25 doi: 10.1210/jc.2007-2521. PMID: 18364375
Morel CF, Thomas MA, Cao H, O'Neil CH, Pickering JG, Foulkes WD, Hegele RA
J Clin Endocrinol Metab 2006 Jul;91(7):2689-95. Epub 2006 Apr 24 doi: 10.1210/jc.2005-2746. PMID: 16636128

Clinical prediction guides

Guidorizzi NR, Valerio CM, Viola LF, Veras VR, Fernandes VO, Lima GEDCP, Flor AC, Araújo JS, Gonçalves Muniz RB, Moreira RO, De Paula FJA, Zajdenverg L, Dantas JR, Godoy-Matos AF, Montenegro Júnior RM, Foss-Freitas MC
Front Endocrinol (Lausanne) 2024;15:1359211. Epub 2024 Jun 3 doi: 10.3389/fendo.2024.1359211. PMID: 38887266Free PMC Article
Valerio CM, Muniz RBG, Viola LF, Bartzen Pereira G, Moreira RO, de Sousa Berriel MR, Montenegro Júnior RM, Godoy-Matos AF, Zajdenverg L
Front Endocrinol (Lausanne) 2024;15:1359025. Epub 2024 Apr 3 doi: 10.3389/fendo.2024.1359025. PMID: 38633761Free PMC Article
Agrawal S, Luan J, Cummings BB, Weiss EJ, Wareham NJ, Khera AV
Diabetes 2024 Jul 1;73(7):1099-1111. doi: 10.2337/db23-0575. PMID: 38345889Free PMC Article
Loh WJ, Yaligar J, Hooper AJ, Sadananthan SA, Kway Y, Lim SC, Watts GF, Velan SS, Leow MKS, Khoo J
Nutr Diabetes 2024 Feb 6;14(1):3. doi: 10.1038/s41387-024-00260-y. PMID: 38321009Free PMC Article
Foss-Freitas MC, Imam S, Neidert A, Gomes AD, Broome DT, Oral EA
Diabetes Care 2024 Apr 1;47(4):653-659. doi: 10.2337/dc23-1614. PMID: 38300898Free PMC Article

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