Obesity

Deciphering the Clinical Presentations in LMNA-related Lipodystrophy: Report of 115 Cases and a Systematic Review

J Clin Endocrinol MetabPublished Retrospective case series and systematic review

Authors' conclusion

This study reports the largest number of patients with LMNA-related lipodystrophy syndromes to date. Our report helps to quantify the prevalence of the known and rare complications associated with different phenotypes and serves as a comprehensive catalog of all known cases.

Study context

Population
Patients with lipodystrophy syndromes carrying pathogenic LMNA variants: own cases and published cases from 94 studies115 own + 379 published cases
Participants
494 patients
Comparison
R482W vs R482Q variant carriers
Outcome
Clinical and metabolic features

Pooled result

As reported in the abstract

Dyslipidemia, earliest biochemical evidence, in all patients
83%
Median age at dyslipidemia
26 (10) years
Diabetes reported
61%
Median age at acute pancreatitis diagnosis, among 39 patients with acute pancreatitis
20 (17) years
Odds of pancreatitis with diabetes vs without
3.2 times
Odds of pancreatitis with hypertriglyceridemia vs without
12.0 times

Further pooled results

Age · younger with R482W

P < 0.001

Age at diabetes diagnosis · earlier with R482W

P < 0.001

OutcomeR482WR482QP value
BMILower with R482W2425P = 0.037
  • Age: spread printed in brackets: 24 vs 25
  • Age at diabetes diagnosis: spread printed in brackets: 18 vs 17
  • BMI: spread printed in brackets: 5 vs 4

Metabolic characteristics and complications

R482Q and R482W were associated with similar metabolic characteristics and complications

Original publication

Deciphering the Clinical Presentations in LMNA-related Lipodystrophy: Report of 115 Cases and a Systematic Review. J Clin Endocrinol Metab. Published 16 October 2023. doi:10.1210/clinem/dgad606

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