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Living with LCAT deficiency

A rare inherited condition of fat and cholesterol processing that can cloud the eyes and affect the kidneys and blood.

Understanding LCAT deficiency

LCAT deficiency is a rare inherited condition in which the body has trouble handling cholesterol, leading to very low HDL ("good") cholesterol.

It is marked by cloudy corneas (corneal opacities). Some people also have kidney failure or a type of anemia in which red blood cells break down too early (hemolytic anemia). It can appear at any time in life.

Signs & symptoms

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

  • Cloudy cornea (corneal opacity)
  • Lower kidney filtering (decreased glomerular filtration rate)
  • Kidney failure (renal insufficiency)
  • Early breakdown of red blood cells (hemolytic anemia)
  • Narrowed, hardened arteries (atherosclerosis)

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 eye disease specialists, genetic specialists, hormone specialists and kidney specialists.

  3. Ask which tests can help

    Your care team will decide which exams and tests can confirm the diagnosis.

  4. Connect with expert centers

    Foundation of the National Lipid Association may keep lists of experts for this condition.

Care & treatment

Care team
Eye disease specialists (ophthalmologists); Genetic specialists (geneticists); Hormone specialists (endocrinologists); Kidney specialists (nephrologists)
Expert care
Expert lists: Foundation of the National Lipid Association
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 Foundation of the National Lipid Association 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 kidneys and eyes be checked?
Would genetic testing help confirm LCAT deficiency?
Should I see a lipid or kidney specialist?

Quick facts

Symptoms usually startany time in life
InheritanceAutosomal Recessive

A child inherits a changed copy of the gene from each parent (autosomal recessive). GARD does not list the specific gene.

GeneticKidneyEndocrineInherited Metabolic

Also known as: lcat (lecithin-cholesterol acyltransferase) deficiency; lecithin acyltransferase deficiency; lecithin cholesterol acyltransferase deficiency; lecithin-cholesterol acyltransferase deficiency

Patient organizations

Source: NIH GARD · LCAT deficiencyGARD ID 16539 · 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 LCAT deficiency.

Explore the LCAT deficiency blog

Explore research for LCAT deficiency

Explore actively recruiting LCAT deficiency studies with HealthSpark.

HealthSpark

Find actively recruiting studies for LCAT deficiency with HealthSpark. Share your city to explore research near you.

  • Recruiting studies from ClinicalTrials.gov
  • Share your city to look for research near you
  • Eligibility is confirmed by the study team

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Powered by HealthSpark, our AI chat helper · Study information from ClinicalTrials.gov · Eligibility is confirmed by the study team.

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