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Living with Acquired generalized lipodystrophy

A rare condition in which body fat is lost, leading to insulin resistance and higher heart risk.

Understanding Acquired generalized lipodystrophy

Acquired generalized lipodystrophy is a rare condition marked by loss of fat tissue and insulin resistance.

Fat under the skin is lost, mostly in the face, arms, legs, palms, and sometimes soles. The insulin resistance raises the risk of heart and blood vessel problems. GARD lists onset as any time in life.

Signs & symptoms

Symptoms vary from person to person. GARD lists these among the most common:

  • Loss of body fat (lipodystrophy)
  • Insulin resistance
  • Insulin-resistant diabetes
  • Heart muscle disease (cardiomyopathy)
  • Muscular-looking calves
  • Autoimmune problems

Not everyone has every symptom. GARD's list comes from the Human Phenotype Ontology.

Diagnosis

  1. Talk with your doctor

    Share the symptoms you've noticed, when they started and your family health history. Notes and photos can help.

  2. See a specialist

    Specialists who may be involved include genetic specialists, hormone specialists and skin, hair, and nail specialists.

  3. Ask which tests can help

    Your care team will decide which exams and tests can confirm the diagnosis.

  4. Connect with expert centers

    Foundation of the National Lipid Association may keep lists of experts for this condition.

Care & treatment

Care team
Genetic specialists (geneticists); Hormone specialists (endocrinologists); Skin, hair, and nail specialists (dermatologists)
Expert care
Expert lists: Foundation of the National Lipid Association
Treatment
GARD doesn't list specific treatments for this condition. Your care team will tailor care to your symptoms.
Research
Clinical trials and observational studies may be options. See the research section below.

General information, not medical advice. Your care team makes the decisions.

Everyday life

Living with a rare condition is easier with support.

  • Connect with Foundation of the National Lipid Association and other patient organizations
  • Keep notes on symptoms, changes and questions for appointments
  • Ask about patient registries that help research
  • Look into financial aid and travel resources for care visits
Bring these questions to your next doctor visit
How should my blood sugar and cholesterol be managed?
How often should my heart be checked?
Should I be checked for autoimmune conditions?

Quick facts

Symptoms usually startany time in life

GARD says changes in genes (also called variants) cause this condition. It doesn't list a specific gene.

GeneticEndocrineSkin

Also known as: acquired lipoatrophic diabetes; acquired lipodystrophic diabetes; acquired total lipoatrophy; lawrence syndrome; lawrence-seip syndrome

Patient organizations

Source: NIH GARD · Acquired generalized lipodystrophyGARD ID 12603 · GARD page updated September 2026 · Plain-language summary by Know Rare; editorial review pending. General information, not medical advice.

You are more than your diagnosis

Perspectives from people navigating life with Acquired generalized lipodystrophy.

Explore the Acquired generalized lipodystrophy blog

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Explore actively recruiting Acquired generalized lipodystrophy studies with HealthSpark.

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  • Recruiting studies from ClinicalTrials.gov
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  • Eligibility is confirmed by the study team

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Powered by HealthSpark, our AI chat helper · Study information from ClinicalTrials.gov · Eligibility is confirmed by the study team.

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