Evidence map›Paper›PMID 40435301›Full record

Observational studyThe Journal of clinical endocrinology and metabolism2025

Clinical Features, Metabolic and Autoimmune Derangements in Acquired Partial Lipodystrophy (Barraquer-Simons Syndrome).

Chatchon Kaewkrasaesin, Michael Hwang, Chandna Vasandani, Rebecca J Brown, Abhimanyu Garg

Abstract readObservational StudyMulticenter Study
In one paragraph

Observational study in The Journal of clinical endocrinology and metabolism, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

3 citing papers in PubMed.

  1. Article
  2. Article
  3. Observational
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

5 authors.

Chatchon KaewkrasaesinThe Section of Nutrition and Metabolic Diseases, Division of Endocrinology, Department of Internal Medicine and the Center for Human Nutrition, UT Southwestern Medical Center, Dallas, TX 75390, USA.ORCID 0000-0001-7124-6807
Michael HwangNational Institute of Diabetes and Digestive and Kidney Diseases, National Institutes of Health, Bethesda, MD 20892, USA.
Chandna VasandaniThe Section of Nutrition and Metabolic Diseases, Division of Endocrinology, Department of Internal Medicine and the Center for Human Nutrition, UT Southwestern Medical Center, Dallas, TX 75390, USA.ORCID 0000-0003-4014-2831
Rebecca J BrownNational Institute of Diabetes and Digestive and Kidney Diseases, National Institutes of Health, Bethesda, MD 20892, USA.
Abhimanyu GargThe Section of Nutrition and Metabolic Diseases, Division of Endocrinology, Department of Internal Medicine and the Center for Human Nutrition, UT Southwestern Medical Center, Dallas, TX 75390, USA.ORCID 0000-0001-7209-6986

Funding

UT Southwestern Center for Translational Medicine (UL1/KL2/TL1)UL1TR001105 · NCATS · UT SOUTHWESTERN MEDICAL CENTER · PI TOTO, ROBERT DANIEL · 2013 to 2017
$24.5M
UT Southwestern NORCP30DK127984 · NIDDK · UT SOUTHWESTERN MEDICAL CENTER · PI Jeffrey M Zigman · 2022 to 2026
$7.4M
Genetic and Metabolic Basis of Familial LipodystrophiesR01DK105448 · NIDDK · UT SOUTHWESTERN MEDICAL CENTER · PI Abhimanyu Garg · 2015 to 2026
$6.5M
Autoimmune Basis of Acquired LipodystrophiesR01DK137904 · NIDDK · UT SOUTHWESTERN MEDICAL CENTER · PI Mark S Anderson, Abhimanyu Garg · 2024 to 2026
$2.7M
NCATS NIH HHSNIDDK NIH HHS P30 DK127984NIDDK NIH HHS R01 DK105448NIDDK NIH HHS R01 DK137904NIH HHS R01-DK105448NIH HHS R01DK137904NIH HHS UL1TR001105
6 · The paper itself

Abstract

contextAcquired partial lipodystrophy (APL) is an ultra-rare disorder characterized by unique loss of subcutaneous fat affecting mostly the face, neck, trunk, and upper extremities. The precise prevalence of metabolic derangements and other comorbidities among patients with APL is not clear.

objectiveWe report clinical features and metabolic and autoimmune derangements in a large cohort.

methodsA total of 86 participants (77 female, 9 male; median age 40 years [range 8-78 years]) with APL from 2 US tertiary referral centers, UT Southwestern and National Institute of Diabetes and Digestive and Kidney Diseases, were recruited into prospective observational studies. Demographic, health history, and laboratory data at the initial evaluation and follow-up were systematically collected and analyzed.

resultsThe median age of onset of lipodystrophy was 7 years (range, 2-51 years). About 15% had autoimmune diseases, 38% had either diabetes mellitus or glucose intolerance, 43% had hypertriglyceridemia, and 61% had fatty liver or metabolic dysfunction-associated steatohepatitis (MASH). A total of 71% of patients had low serum complement 3 (C3) levels, 8% had membranoproliferative glomerulonephritis, while drusen occurred in 62% of those with fundus examination (n = 21). Patients with C3 hypocomplementemia, compared to those with normal serum C3 level, reported earlier onset of diabetes or glucose intolerance (median age 36 vs 56.5 years, P = .007), hypertriglyceridemia (30 vs 48 years, P = .03), and drusen (33 vs 60 years, P = .14).

conclusionOur data reveal high risk of metabolic comorbidities and drusen in patients with APL, with earlier onset of these complications in those with C3 hypocomplementemia.

Indexed as

Autoimmune DiseasesLipodystrophyAdolescentAdultAgedAge of OnsetChildComorbidityFemaleHumansMaleMiddle AgedProspective StudiesYoung Adultacquired partial lipodystrophyBarraquer–Simons syndromecomplement 3diabetes mellitusdrusen retinopathyhypertriglyceridemiahypocomplementemia

Identifiers

PMID40435301
PMCPMC12712982

What OpenQuestion holds

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Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.