Clinical and Mutational Features of Three Chinese Children with Congenital Generalized Lipodystrophy.

Objective: To investigate the clinical and molecular features of congenital generalized lipodystrophy (CGL) in three Chinese patients with various typical manifestations.

Methods: Data on clinical symptoms, results of laboratory analyses, and previous treatments in three Chinese patients were collected by a retrospective review of medical records. All coding regions and adjacent exon-intron junction regions of and genes were amplified by polymerase chain reaction and sequenced.

Results: Generalized lipodystrophy, acanthosis nigricans, muscular hypertrophy, severe hypertriglyceridemia, and hepatomegaly were features in all three patients. Patient 1 developed diabetes mellitus at the early age of 2 months and he was the youngest CGL patient reported with overt diabetes. Patient 2 was found to have cardiomyopathy when she was aged 6 months. All of the patients were found to have mutations in the gene, but none of these was a novel mutation. We did not find any mutation in our patients.

Conclusion: All of our patients exhibited characteristic features of CGL due to mutations in the gene.