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Title:Epidemiological and Clinical Data from the European lipodystrophy (ECLip) registry
Authors:ID Ceccarini, Giovanni (Author)
ID Vatier, Camille (Author)
ID Akinci, Baris (Author)
ID Belalem, Ines (Author)
ID Broekema, Marjoleine (Author)
ID Csajbok, Eva (Author)
ID Štotl, Iztok (Author), et al.
Files:.pdf PDF - Presentation file, download (1,50 MB)
MD5: F1C809316A117B91D7495A1E579039D2
 
URL URL - Source URL, visit https://academic.oup.com/ejendo/article/193/5/585/8305425
 
Language:English
Typology:1.01 - Original Scientific Article
Organization:Logo UKC LJ - Ljubljana University Medical Centre
Abstract:Objective: Lipodystrophy syndromes comprise a group of rare diseases characterized by loss of adipose tissue without nutritional or catabolic causes. As the rarity of these conditions necessitates collaboration, the European Consortium of Lipodystrophies (ECLip) established an international, longitudinal registry for patients with all forms of lipodystrophy (excluding HIV-associated cases). Methods: From December 2017 to November 2023, 19 centres from 13 countries recruited 631 patients into the ECLip registry. Cross-sectional data were analysed using descriptive statistics. Results: Prospective data was available for 467 patients (82.7%, female; 86.5% adults; median age 44.0 years). Familial partial lipodystrophy (FPLD) was the most common subtype (57.4%), especially FPLD2 (37.9%). However, in men congenital generalized lipodystrophy was nearly as common as FPLD (33.3% vs. 35.8%). Symptoms at onset varied by subtype, with loss of adipose tissue being the most frequent. More than 70% of the patients suffered from metabolic complications, particularly dyslipidaemia (59.0%) and diabetes (48.4%) but prevalence and severity varied between subtypes (prevalence of diabetes for example 76.9% in patients with acquired partial lipodystrophy vs 8.7% in acquired localized lipodystrophy). Metreleptin, the only disease-specific treatment, was used by 11.6% of all patients. 34 deaths were documented, primarily due to cardiovascular events and cancer. Patients with generalized forms of lipodystrophy died earlier compared to patients with partial forms (median age at death 27.0 vs. 72.0 years). Conclusion: This study describes the largest cohort of patients with lipodystrophy reported to date. The dataset offers a comprehensive view of the epidemiology, clinical presentation, and associated comorbidities of lipodystrophy.
Keywords:lipodystrophy, registry, metabolic diseases, chronic complications, adipose tissue, leptin
Publication status:Published
Publication version:Version of Record
Year of publishing:2025
Number of pages:str. 585–603
Numbering:Vol. 193, issue 5
PID:20.500.12556/DiRROS-24689 New window
UDC:61
ISSN on article:1479-683X
DOI:10.1093/ejendo/lvaf214 New window
COBISS.SI-ID:256060419 New window
Note:Nasl. z nasl. zaslona; Opis vira z dne 6. 11. 2025;
Publication date in DiRROS:12.12.2025
Views:65
Downloads:25
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Record is a part of a journal

Title:European journal of endocrinology
Shortened title:Eur. j. endocrinol.
Publisher:Scandinavian University Press
ISSN:1479-683X
COBISS.SI-ID:521193753 New window

Document is financed by a project

Funder:WT - Wellcome Trust
Project number:219417
Name:Understanding and disrupting the link between obesity and metabolic disease

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License:CC BY-NC 4.0, Creative Commons Attribution-NonCommercial 4.0 International
Link:http://creativecommons.org/licenses/by-nc/4.0/
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