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Living with PPARG-related familial partial lipodystrophy

A rare genetic condition starting in adulthood with fat loss in the arms and legs, extra fat in the face and trunk, and diabetes.

Understanding PPARG-related familial partial lipodystrophy

PPARG-related familial partial lipodystrophy is a rare genetic condition in which fat is lost from the limbs and gained in the face and trunk.

It starts in adulthood. People lose fat under the skin of the arms, legs and buttocks, and gain fat in the face, trunk and around organs. Related features can include diabetes, high blood fats, high blood pressure, heart disease, fatty liver, darkened skin patches, extra hair and larger leg muscles.

Signs & symptoms

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

  • Fat loss in the limbs and buttocks
  • Insulin resistance and diabetes
  • High blood pressure
  • Enlarged liver (fatty liver)
  • Yellow fatty bumps on the skin (xanthomas)
  • Hardening and narrowing of arteries

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 PPARG 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
Should we have genetic testing for PPARG, and should relatives be tested?
How often should blood sugar, blood fats and liver health be checked?
Which specialists, such as endocrinology, should be involved?

Quick facts

Symptoms usually startAdult
InheritanceAutosomal Dominant
GenesPPARG

Changes in the PPARG gene cause this condition. It is autosomal dominant, meaning one changed copy of the gene is enough.

GeneticEndocrineSkin

Also known as: familial partial lipodystrophy type 3; fpld3; fpld3 - familial partial lipodystrophy type 3; lipodystrophy, familial partial, associated with pparg mutations; peroxisome proliferator activated receptor gamma-related familial partial lipodystrophy; pparg-related fpld

Patient organizations

Source: NIH GARD · PPARG-related familial partial lipodystrophyGARD ID 12600 · 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 PPARG-related familial partial lipodystrophy.

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