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Living with Familial partial lipodystrophy, Kobberling type

A rare form of partial lipodystrophy with fat loss only in the arms and legs and extra belly fat, so far reported only in women.

Understanding Familial partial lipodystrophy, Kobberling type

Familial partial lipodystrophy, Kobberling type is a rare form of partial lipodystrophy with fat loss in the arms and legs only.

Fat on the face, neck and trunk is normal or a bit increased, with extra belly fat. This type has only been reported in women. Insulin resistance, high blood pressure, and high blood fats have been reported. It is listed as starting in childhood.

Signs & symptoms

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

  • Loss of fat in the arms and legs
  • Insulin resistance
  • Diabetes
  • High blood pressure
  • Enlarged liver
  • Polycystic ovaries

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 NOTCH3 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
How often should my blood sugar and blood fats be checked?
Is genetic testing, including the NOTCH3 gene, helpful?
Which specialists should follow my hormone and metabolic health?

Quick facts

Symptoms usually startChild
InheritanceAutosomal Dominant
GenesNOTCH3

Inheritance seems to be autosomal dominant, but the exact cause is not known. The NOTCH3 gene is listed.

GeneticEndocrineSkin

Also known as: familial partial lipodystrophy 1; familial partial lipodystrophy kobberling type; familial partial lipodystrophy type 1; familial partial lipodystrophy, köbberling type; fpld1

Patient organizations

Source: NIH GARD · Familial partial lipodystrophy, Kobberling typeGARD ID 12598 · 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 Familial partial lipodystrophy, Kobberling type.

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