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Living with Familial partial lipodystrophy, Dunnigan type

A rare genetic condition that changes where body fat is stored, starting around puberty and linked to the LMNA gene.

Understanding Familial partial lipodystrophy, Dunnigan type

Familial partial lipodystrophy, Dunnigan type (FPLD2) is a rare genetic disorder that changes the amount and location of body fat.

Symptoms usually begin around puberty after normal fat in childhood. Fat is lost from the limbs, torso, buttocks and hips, and builds up in the face, neck and upper back. Metabolic problems develop in the teen or adult years. They may include insulin resistance, diabetes, high blood fats, pancreatitis, fatty liver and heart disease.

Signs & symptoms

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

  • Loss of fat under the skin of the limbs
  • Insulin resistance and diabetes
  • Round face
  • Enlarged liver
  • Yellow fatty bumps on the skin (xanthomas)
  • Narrowing and hardening of arteries

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
Should I have genetic testing for the LMNA gene?
How often should my blood sugar, fats, and heart be checked?
Should my relatives be tested?

Quick facts

Symptoms usually starta variety of ages
InheritanceAutosomal Dominant
GenesLMNA

Changes in the LMNA gene cause it. It is autosomal dominant, which means one changed copy of the gene is enough.

GeneticEndocrineSkin

Also known as: dunnigan syndrome; familial lipodystrophy of limbs and lower trunk; familial partial lipodystrophy dunnigan type; familial partial lipodystrophy type 2; fpld2; lipodystrophy, familial, of limbs and lower trunk

Patient organizations

Source: NIH GARD · Familial partial lipodystrophy, Dunnigan typeGARD ID 3126 · GARD page updated September 2026 · Plain-language summary by Know Rare; editorial review pending. General information, not medical advice.

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