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Reduced intrathoracic adipose tissue

MedGen UID:
1378187
Concept ID:
C4476537
Finding
HPO: HP:0003809

Definition

An abnormally reduced amount of adipose tissue in the thoracic cavity. [from HPO]

Term Hierarchy

CClinical test,  RResearch test,  OOMIM,  GGeneReviews,  VClinVar  
  • CROGVReduced intrathoracic adipose tissue

Conditions with this feature

Congenital generalized lipodystrophy type 1
MedGen UID:
318592
Concept ID:
C1720862
Disease or Syndrome
Berardinelli-Seip congenital lipodystrophy (BSCL) is usually diagnosed at birth or soon thereafter. Because of the absence of functional adipocytes, lipid is stored in other tissues, including muscle and liver. Affected individuals develop insulin resistance and approximately 25%-35% develop diabetes mellitus between ages 15 and 20 years. Hepatomegaly secondary to hepatic steatosis and skeletal muscle hypertrophy occur in all affected individuals. Hypertrophic cardiomyopathy is reported in 20%-25% of affected individuals and is a significant cause of morbidity from cardiac failure and early mortality.
Congenital generalized lipodystrophy type 2
MedGen UID:
318593
Concept ID:
C1720863
Congenital Abnormality
Berardinelli-Seip congenital lipodystrophy (BSCL) is usually diagnosed at birth or soon thereafter. Because of the absence of functional adipocytes, lipid is stored in other tissues, including muscle and liver. Affected individuals develop insulin resistance and approximately 25%-35% develop diabetes mellitus between ages 15 and 20 years. Hepatomegaly secondary to hepatic steatosis and skeletal muscle hypertrophy occur in all affected individuals. Hypertrophic cardiomyopathy is reported in 20%-25% of affected individuals and is a significant cause of morbidity from cardiac failure and early mortality.

Recent clinical studies

Etiology

Haider A, Possner M, Messerli M, Bengs S, Osto E, Maredziak M, Portmann A, Fiechter M, Giannopoulos AA, Treyer V, Gaisl T, von Felten E, Patriki D, Benz DC, Fuchs TA, Gräni C, Pazhenkottil AP, Buechel RR, Kaufmann PA, Gebhard C
Int J Cardiol 2019 Oct 1;292:258-264. Epub 2019 May 1 doi: 10.1016/j.ijcard.2019.04.092. PMID: 31178224
Zeb I, Ahmadi N, Flores F, Budoff MJ
Coron Artery Dis 2018 Jun;29(4):325-328. doi: 10.1097/MCA.0000000000000587. PMID: 29140808
Stojanovska J, Kazerooni EA, Sinno M, Gross BH, Watcharotone K, Patel S, Jacobson JA, Oral H
Eur Radiol 2015 Aug;25(8):2298-309. Epub 2015 Mar 13 doi: 10.1007/s00330-015-3643-1. PMID: 25764090
Sironi AM, Gastaldelli A, Mari A, Ciociaro D, Positano V, Buzzigoli E, Ghione S, Turchi S, Lombardi M, Ferrannini E
Hypertension 2004 Aug;44(2):127-33. Epub 2004 Jul 19 doi: 10.1161/01.HYP.0000137982.10191.0a. PMID: 15262911

Diagnosis

Stojanovska J, Kazerooni EA, Sinno M, Gross BH, Watcharotone K, Patel S, Jacobson JA, Oral H
Eur Radiol 2015 Aug;25(8):2298-309. Epub 2015 Mar 13 doi: 10.1007/s00330-015-3643-1. PMID: 25764090
Perseghin G, Lattuada G, De Cobelli F, Esposito A, Belloni E, Ntali G, Ragogna F, Canu T, Scifo P, Del Maschio A, Luzi L
Hepatology 2008 Jan;47(1):51-8. doi: 10.1002/hep.21983. PMID: 17955548
Sironi AM, Gastaldelli A, Mari A, Ciociaro D, Positano V, Buzzigoli E, Ghione S, Turchi S, Lombardi M, Ferrannini E
Hypertension 2004 Aug;44(2):127-33. Epub 2004 Jul 19 doi: 10.1161/01.HYP.0000137982.10191.0a. PMID: 15262911

Therapy

Zeb I, Ahmadi N, Flores F, Budoff MJ
Coron Artery Dis 2018 Jun;29(4):325-328. doi: 10.1097/MCA.0000000000000587. PMID: 29140808
Sironi AM, Gastaldelli A, Mari A, Ciociaro D, Positano V, Buzzigoli E, Ghione S, Turchi S, Lombardi M, Ferrannini E
Hypertension 2004 Aug;44(2):127-33. Epub 2004 Jul 19 doi: 10.1161/01.HYP.0000137982.10191.0a. PMID: 15262911

Prognosis

Haider A, Possner M, Messerli M, Bengs S, Osto E, Maredziak M, Portmann A, Fiechter M, Giannopoulos AA, Treyer V, Gaisl T, von Felten E, Patriki D, Benz DC, Fuchs TA, Gräni C, Pazhenkottil AP, Buechel RR, Kaufmann PA, Gebhard C
Int J Cardiol 2019 Oct 1;292:258-264. Epub 2019 May 1 doi: 10.1016/j.ijcard.2019.04.092. PMID: 31178224
Watson RA, Pride NB, Thomas EL, Ind PW, Bell JD
J Appl Physiol (1985) 2012 Jan;112(1):118-26. Epub 2011 Sep 22 doi: 10.1152/japplphysiol.00217.2011. PMID: 21940844

Clinical prediction guides

Haider A, Possner M, Messerli M, Bengs S, Osto E, Maredziak M, Portmann A, Fiechter M, Giannopoulos AA, Treyer V, Gaisl T, von Felten E, Patriki D, Benz DC, Fuchs TA, Gräni C, Pazhenkottil AP, Buechel RR, Kaufmann PA, Gebhard C
Int J Cardiol 2019 Oct 1;292:258-264. Epub 2019 May 1 doi: 10.1016/j.ijcard.2019.04.092. PMID: 31178224
Watson RA, Pride NB, Thomas EL, Ind PW, Bell JD
J Appl Physiol (1985) 2012 Jan;112(1):118-26. Epub 2011 Sep 22 doi: 10.1152/japplphysiol.00217.2011. PMID: 21940844
Garg A, Peshock RM, Fleckenstein JL
J Clin Endocrinol Metab 1999 Jan;84(1):170-4. doi: 10.1210/jcem.84.1.5383. PMID: 9920078

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