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Living with Pancreatic triacylglycerol lipase deficiency

A rare inherited condition in which the body can't absorb dietary fat well, causing oily stools but normal growth.

Understanding Pancreatic triacylglycerol lipase deficiency

Pancreatic triacylglycerol lipase deficiency is a rare inherited condition that makes it hard to absorb fat from food.

It starts in infancy or childhood. People have greasy, bulky stools. Growth and development are normal. Levels of the fat-soluble vitamins A, D, and E can be low.

Signs & symptoms

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

  • Greasy stools (steatorrhea)
  • Bloated belly
  • Belly pain
  • Tiredness (fatigue)
  • Weight loss
  • Trouble digesting food (exocrine pancreatic insufficiency)

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 digestive system specialists and genetic specialists.

  3. Consider genetic testing

    Changes in PNLIP 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
Digestive system specialists (gastroenterologists); Genetic specialists (geneticists)
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 rare disease patient organizations for support
  • 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 my vitamin A, D, and E levels be checked?
What diet or enzyme options could help with fat absorption?
Should family members have PNLIP genetic testing?

Quick facts

Symptoms usually startInfant
InheritanceAutosomal Recessive
GenesPNLIP

Changes in the PNLIP gene cause this condition. It is autosomal recessive, which means a child inherits a changed copy of the gene from each parent.

GeneticGastrointestinalInherited Metabolic

Also known as: lipase, congenital absence of pancreatic; pancreatic triglyceride lipase deficiency; pl deficiency

Patient organizations

Rare-disease groups that can help

Source: NIH GARD · Pancreatic triacylglycerol lipase deficiencyGARD ID 17401 · 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 Pancreatic triacylglycerol lipase deficiency.

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