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Living with Autosomal semi-dominant severe lipodystrophic laminopathy

A rare genetic condition with loss of body fat in the limbs and trunk, extra fat in the face and neck, and diabetes.

Understanding Autosomal semi-dominant severe lipodystrophic laminopathy

Autosomal semi-dominant severe lipodystrophic laminopathy is a rare form of familial partial lipodystrophy, in which fat is lost in some parts of the body.

There is severe loss of fat in the arms, legs, trunk, and belly, with fat building up in the face and neck. It can also cause diabetes, darkened skin folds, fatty liver, and high triglycerides. Leptin and adiponectin levels are low. Serious heart rhythm and conduction problems have been reported. Onset is listed as adulthood.

Signs & symptoms

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

  • Loss of healthy fat tissue (lipodystrophy)
  • Extra fat in the face and neck
  • Body does not respond well to insulin
  • Diabetes
  • Darkened, thickened skin (acanthosis nigricans)
  • Enlarged liver

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 LMNA 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
Can genetic testing for the LMNA gene confirm the diagnosis?
How should blood sugar, liver, and triglycerides be monitored?
Should my heart rhythm be checked regularly?

Quick facts

Symptoms usually startAdult
GenesLMNA

It is caused by changes in the LMNA gene.

GeneticEndocrineSkin

Patient organizations

Source: NIH GARD · Autosomal semi-dominant severe lipodystrophic laminopathyGARD ID 21080 · 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 Autosomal semi-dominant severe lipodystrophic laminopathy.

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