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Updated: Jun 27, 2026

09:58
Lipidomics and Transcriptomics in Neurological Diseases
Published on: March 18, 2022
[Congenital generalized lipodystrophy: a case report with neurological involvement]
H Ben Turkia1, N Tebib, H Azzouz
1Service de pédiatrie, hôpital La-Rabta, Jebbari, Tunis, Tunisie. hadhami.baili@laposte.net
Summary
Congenital generalized lipodystrophy (CGL) is a rare genetic disorder. A novel AGPAT2 gene mutation caused CGL type 1 in a child, presenting with unique neurological findings.
Area of Science:
- Genetics
- Endocrinology
- Neurology
Background:
- Congenital generalized lipodystrophy (CGL) is a rare inherited disorder.
- Characterized by near-complete absence of adipose tissue from birth.
- CGL types 1 and 2 are linked to mutations in AGPAT2 and Seipin genes, respectively, causing insulin resistance.
Observation:
- A novel homozygote mutation in the AGPAT2 gene identified in a Libyan child with CGL type 1.
- Clinical features included pseudoathletic muscular hypertrophy, hypertrophic cardiomyopathy, enlarged liver, hypermetabolism, and hyperinsulinemia.
- Peripheral hypertonia and reflex excitability were observed.
Findings:
- The novel AGPAT2 mutation is associated with CGL type 1.
- The patient exhibited a complex phenotype including metabolic and cardiovascular abnormalities.
- Unprecedented white matter signal abnormalities on MRI were noted in conjunction with neurological symptoms.
Implications:
- This case expands the known spectrum of AGPAT2 mutations in CGL.
- Highlights the potential for neurological manifestations in CGL.
- Suggests a possible link between AGPAT2 mutations and white matter abnormalities, warranting further investigation.
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