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Clinical and biochemical features of atypical lipodystrophy patients with CAV1 mutations |
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| Attribute |
Patient A |
Patient B |
Patient C |
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| 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: |
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| 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 |
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