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Living with LIPE-related familial partial lipodystrophy

A rare inherited condition in which body fat is unevenly spread, with fat buildup in some areas and loss in the legs.

Understanding LIPE-related familial partial lipodystrophy

LIPE-related familial partial lipodystrophy is a rare inherited condition that causes an uneven distribution of fat under the skin.

Extra fat builds up in the face, neck, shoulders, armpits, trunk, and pubic area, while fat is lost from the legs. Other common features may include muscle weakness (myopathy) that gets worse in adulthood, insulin resistance, diabetes, high triglycerides, fatty liver, and vitiligo. It usually starts in adulthood.

Signs & symptoms

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

  • Body doesn't respond well to insulin (insulin resistance)
  • Uneven fat distribution (lipodystrophy)
  • Extra fat around the neck
  • Loss of fat under the skin in the limbs
  • Darkened, thickened skin (acanthosis nigricans)
  • Low leptin and adiponectin levels

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 LIPE 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
Would LIPE gene testing help our family?
How often should I be checked for diabetes and liver health?
Which specialists should follow my care?

Quick facts

Symptoms usually startAdult
InheritanceAutosomal Recessive
GenesLIPE

It is caused by changes in the LIPE gene. A child inherits a changed copy of the gene from each parent (autosomal recessive).

GeneticEndocrineSkin

Also known as: familial partial lipodystrophy 6; familial partial lipodystrophy associated with lipe mutations; fpld6; fpld6 - familial partial lipodystrophy type 6; lipase e, hormone sensitive type-related familial partial lipodystrophy; lipe-related fpld

Patient organizations

Source: NIH GARD · LIPE-related familial partial lipodystrophyGARD ID 13126 · 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 LIPE-related familial partial lipodystrophy.

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