Multiple subcutaneous nodules for 46 days in an infant aged 66 days.
- Author:
Dan-Dan GUO
1
;
Xiao-Feng LIU
;
Yuan-Dong DUAN
Author Information
1. Department of Pediatrics, Xiangya Hospital, Central South University, Changsha 410008, China. 13787310096@139.com.
- Publication Type:Case Reports
- MeSH:
Adipose Tissue;
China;
Fatty Liver;
Humans;
Infant;
Insulin Resistance;
Lipodystrophy;
Lipodystrophy, Congenital Generalized;
Male
- From:
Chinese Journal of Contemporary Pediatrics
2020;22(8):903-908
- CountryChina
- Language:Chinese
-
Abstract:
A boy, aged 66 days, was admitted to the hospital due to subcutaneous nodules for 46 days and abdominal distension for 10 days. The main clinical manifestations were loss of adipose tissue, subcutaneous nodules, insulin-resistant diabetes, hypertriglyceridemia, and hepatic steatosis. The boy was diagnosed with congenital generalized lipodystrophy type 1 (CGL1). His condition was improved after administration of middle-chain fatty acid formula milk and insulin injection or oral metformin. Gene testing revealed a homozygous mutation, c.646A>T, in the AGPAT2 gene, and both his parents were carriers of this mutation. This case of CGL1 has the youngest age of onset ever reported in China and multiple subcutaneous nodules as the initial symptom.
