A Report of Three Cases With Acquired Generalized Lipodystrophy With Distinct Autoimmune Conditions Treated With Metreleptin
Author(s) -
Jasmin Lebastchi,
Nevin Ajluni,
Adam Neidert,
Elif A Oral
Publication year - 2015
Publication title -
the journal of clinical endocrinology and metabolism
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 2.206
H-Index - 353
eISSN - 1945-7197
pISSN - 0021-972X
DOI - 10.1210/jc.2015-2589
Subject(s) - medicine , autoimmune hepatitis , lipodystrophy , hypertriglyceridemia , hepatosplenomegaly , insulin resistance , endocrinology , fatty liver , autoimmune disease , hepatitis , immunology , disease , insulin , triglyceride , human immunodeficiency virus (hiv) , cholesterol , antiretroviral therapy , viral load
Acquired generalized lipodystrophy (AGL) is associated with leptin deficiency as a result of adipose tissue loss and hypertriglyceridemia, insulin resistance, and hepatic steatosis. It may coexist with other autoimmune diseases such as Hashimoto's thyroiditis, rheumatoid arthritis, hemolytic anemia, and chronic active hepatitis. Metreleptin therapy has been shown to improve metabolic abnormalities in lipodystrophy, but the effect on AGL patients with active autoimmune disease is unknown.
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