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Living with Familial apolipoprotein C-II deficiency

An inherited fat-processing condition that can cause enlarged liver and spleen and inflamed pancreas.

Understanding Familial apolipoprotein C-II deficiency

Familial apolipoprotein C-II deficiency is an inherited condition in which the body cannot process certain fats properly.

It is similar to lipoprotein lipase deficiency and is also called hyperlipoproteinemia type IB. Features include an enlarged liver and spleen, pancreas inflammation (pancreatitis), and skin eruptions. It usually shows up in childhood or the teen years.

Signs & symptoms

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

  • Enlarged liver (hepatomegaly)
  • Enlarged spleen (splenomegaly)
  • Inflamed pancreas (pancreatitis)
  • Yellowish skin bumps (eruptive xanthomas)

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 and hormone specialists.

  3. Consider genetic testing

    Changes in APOC2 are linked to this condition. Genetic testing and counseling can help confirm a diagnosis and explain what it means for your family.

  4. Connect with expert centers

    National Pancreas Foundation may keep lists of experts for this condition.

Care & treatment

Care team
Genetic specialists (geneticists); Hormone specialists (endocrinologists)
Expert care
Expert lists: National Pancreas Foundation
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 National Pancreas Foundation
  • 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 APOC2 gene confirm this diagnosis?
How can diet help prevent pancreatitis?
Which specialists should be on my care team?

Quick facts

Symptoms usually startChild and as a Teenager
InheritanceAutosomal Recessive
GenesAPOC2

Changes in the APOC2 gene cause this condition. It is autosomal recessive, which means a child inherits a changed copy of the gene from each parent.

GeneticEndocrineInherited Metabolic

Also known as: apoc2 deficiency; apolipoprotein c-ii deficiency; c-ii anapolipoproteinemia; familial apoc-ii deficiency; familial apoc2 deficiency; hyperlipoproteinemia, type ib

Patient organizations

Source: NIH GARD · Familial apolipoprotein C-II deficiencyGARD ID 759 · GARD page updated September 2026 · Plain-language summary by Know Rare; editorial review pending. General information, not medical advice.

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