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Start free with EleplanAutosomal semi-dominant severe lipodystrophic laminopathy
ORPHA:280365Disease
What it is
A rare familial partial lipodystrophy characterized by severe partial lipoatrophy affecting the limbs, trunk, and abdomen, together with faciocervical fat accumulation. Additional manifestations include diabetes, acanthosis nigricans, liver steatosis, and hypertriglyceridemia, as well as low serum leptin and adiponectin levels. Severe cardiac rhythm and conduction disturbances have also been reported.
Key facts
- Prevalence
- <1 / 1 000 000
- Age of onset
- Adult
- Inheritance
- Semi-dominant
- Classified as
- Disease
Prevalence figures describe populations, not individuals, and are often estimates from a single study. Where the figure is an incidence or a birth prevalence, it says so.
Signs and symptoms
Very common80–99%
15- Aplasia/Hypoplasia of the skin
- Diabetes mellitus
- Hepatomegaly
- Hypertriglyceridemia
- Insulin resistance
- Lipoatrophy
- Lipodystrophy
- Micrognathia
- Minimal subcutaneous fat
- Narrow nasal ridge
- Premature graying of hair
- Progeroid facial appearance
- Reduced subcutaneous adipose tissue
- Skeletal muscle hypertrophy
- Xanthomatosis
Common30–79%
22- Abnormal nail morphology
- Acanthosis nigricans
- Accelerated atherosclerosis
- Acroosteolysis of distal phalanges (feet)
- Advanced eruption of teeth
- Atherosclerosis
- Decreased adiponectin level
- Decreased HDL cholesterol concentration
- Decreased serum leptin
- Hepatic steatosis
- Increased adipose tissue around the neck
- Increased facial adipose tissue
- Increased intraabdominal fat
- Loss of subcutaneous adipose tissue in limbs
- Muscle hypertrophy of the lower extremities
- Osteolytic defects of the phalanges of the hand
- Polycystic ovaries
- Precocious atherosclerosis
- Proximal upper limb muscle hypertrophy
- Round face
- Secondary amenorrhea
- Thin skin
These ranges are how often a sign appears across everyone diagnosed, not a prediction for one person — most people have some of these and not others. Orphanet also records findings that are specifically absent in this disease; those are in the data but not listed here.
Gene
ICD-10 codes
ICD-10 has no distinct code for most rare diseases, so many are filed under the nearest available one. A shared code identifies the group, not this disease — the ORPHAcode above is what identifies it.
Related health topics
Reached through the ICD-10 categories this disease is filed under, so these describe the broader group rather than this disease specifically.
Cross-references
Orphadata Science: Free access data from Orphanet. © INSERM 1999. Data version 2026-06-23. Available under CC BY 4.0. This is a reference, not medical advice.
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