Table 1

Clinical and biochemical features of atypical lipodystrophy patients with CAV1 mutations

Attribute
Patient A
Patient B
Patient C

Ancestry
Northern Europe
Northern Europe
Northern Europe
CAV1 mutation name
I134fsdelA-X137
I134fsdelA-X137
-88delC
age at assessment (years)
28
55
35
sex
female
male
male
lipodystrophy onset
birth
birth
adulthood
BMI (kg/m2)
25.0
24.5
25.6
waist circumference (cm)
86
88
92
Subcutaneous fat changes:



     face
decrease
decrease
increase
     arms
decrease
decrease
decrease
     gluteal region
increase
increase
decrease
     thighs
increase
increase
decrease
     calves
increase
increase
decrease
     visceral
increase
increase
increase




age of diabetes onset (years)
none
30
33
hypertension and age of onset
none
none
33
hyperlipoproteinemia
type 5
type 4
type 5
pancreatitis
recurrent
no
recurrent
highest historical plasma triglyceride
20.4 mmol/L
80 mmol/L
16.5 mmol/L
acanthosis nigricans
present
absent
present




congenital cataracts
bilateral
bilateral
absent
atypical retinitis pigmentosa
bilateral
bilateral
absent




tinnitus
moderate
absent
absent




nystagmus
severe
absent
absent
spastic ataxia
severe
mild
absent
dysdiadochokinesia
severe
mild
absent
muscle power in lower limbs
diminished (4/5)
normal
normal
sensory glove/stocking neuropathy
severe
mild
absent
Babinski sign
bilateral
absent
absent
finger past-pointing
severe
absent
absent




other comments
wheel-chair bound since age 20; similarly affected paternal aunt (deceased)
Patient A's father; legally blind
requires 120 U of insulin daily

Cao et al. Lipids in Health and Disease 2008 7:3   doi:10.1186/1476-511X-7-3