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Living with AKT2-related familial partial lipodystrophy

A rare inherited condition in adults with loss of fat tissue in the limbs, severe insulin resistance, and diabetes.

Understanding AKT2-related familial partial lipodystrophy

AKT2-related familial partial lipodystrophy is a rare inherited condition with loss of fat under the skin and severe insulin resistance.

It begins in adulthood with loss of fat in the hands and feet or limbs (distal lipoatrophy). The body's liver and other tissues respond poorly to insulin, which causes high insulin levels and diabetes. Dark, thick skin patches (acanthosis nigricans) and high blood pressure have also been reported.

Signs & symptoms

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

  • Insulin resistance
  • Diabetes
  • Loss of healthy fat tissue (lipodystrophy)
  • Dark, thick patches of skin (acanthosis nigricans)
  • Enlarged liver
  • Extra fat in the belly

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. Consider genetic testing

    Changes in AKT2 are linked to this condition. Genetic testing and counseling can help confirm a diagnosis and explain what it means for your family.

Care & treatment

Care team
Genetic specialists (geneticists); Hormone specialists (endocrinologists); Skin, hair, and nail specialists (dermatologists)
Expert care
Ask about multidisciplinary care centers for rare conditions
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 Lipodystrophy United 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
Is genetic testing for AKT2 available for our family?
How should my diabetes be managed?
How often should my liver and blood pressure be checked?

Quick facts

Symptoms usually startAdult
InheritanceAutosomal Dominant
GenesAKT2

Changes in the AKT2 gene cause this condition. It is autosomal dominant, so a changed copy of the gene from one parent can be enough.

GeneticEndocrineSkin

Also known as: akt serine/threonine kinase 2-related familial partial lipodystrophy; akt2-related fpld

Patient organizations

Source: NIH GARD · AKT2-related familial partial lipodystrophyGARD ID 12599 · 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 AKT2-related familial partial lipodystrophy.

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