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Living with Neutral lipid storage myopathy

An inherited condition where fat builds up in muscles and other organs, causing muscle weakness that usually shows up in adulthood.

Understanding Neutral lipid storage myopathy

Neutral lipid storage myopathy is an inherited condition in which fats are stored abnormally in organs and tissues, causing muscle weakness.

Fat builds up in muscle tissue throughout the body, leading to muscle weakness (myopathy). Other features can include a fatty liver, a weakened and enlarged heart (cardiomyopathy), inflammation of the pancreas, low thyroid activity, and type 2 diabetes. Symptoms vary a lot from person to person. GARD lists adult as the usual time of onset.

Signs & symptoms

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

  • Weakness in the muscles closest to the center of the body
  • Weak hip and shoulder muscles
  • Difficulty running
  • Tiring easily (easy fatigability)
  • Disease of the heart muscle (cardiomyopathy)
  • Muscle aches and twitching

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 brain and nervous system specialists and genetic specialists.

  3. Consider genetic testing

    Changes in PNPLA2 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

    Foundation for Ichthyosis and Related Skin Types may keep lists of experts for this condition.

Care & treatment

Care team
Brain and nervous system specialists (neurologists); Genetic specialists (geneticists)
Expert care
Expert lists: Foundation for Ichthyosis and Related Skin Types
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 for Ichthyosis and Related Skin Types 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 my heart checked because of the risk of cardiomyopathy?
Would genetic testing for the PNPLA2 gene be useful for me or my family?
How should my liver, pancreas, thyroid and blood sugar be monitored?

Quick facts

Symptoms usually startAdult
InheritanceAutosomal Recessive
GenesPNPLA2

Changes in the PNPLA2 gene cause this condition. It is inherited in an autosomal recessive way, meaning a child inherits a changed copy of the gene from each parent.

GeneticNeurologicalInherited MetabolicLysosomal Storage

Also known as: neutral lipid storage disease with myopathy; neutral lipid storage disease with myopathy without ichthyosis; neutral lipid storage disease without ichthyosis; nlsdm

Patient organizations

Source: NIH GARD · Neutral lipid storage myopathyGARD ID 10288 · 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 Neutral lipid storage myopathy.

Explore the Neutral lipid storage myopathy blog

Explore research for Neutral lipid storage myopathy

Explore actively recruiting Neutral lipid storage myopathy studies with HealthSpark.

HealthSpark

Find actively recruiting studies for Neutral lipid storage myopathy with HealthSpark. Share your city to explore research near you.

  • Recruiting studies from ClinicalTrials.gov
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  • 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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