Lipodistrofias primarias: presentación clínica y diagnóstico
Lipodystrophies are a heterogeneous group of syndromes defined by a severe reduction of the adipose tissue. These can be congenital or acquired. Anatomically, they can be partial or generalized. The etiology of several lipodystrophies is well known. However, the cause of many others remains unknown....
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Sociedad Médica de Santiago
2019
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oai:scielo:S0034-988720190011014492020-02-25Lipodistrofias primarias: presentación clínica y diagnósticoCORTÉS,VÍCTORSANTOS,JOSÉ LUIS Adipose Tissue Diabetes Melllitus Insulin Resistance Leptin Lipodystrophy Lipodystrophies are a heterogeneous group of syndromes defined by a severe reduction of the adipose tissue. These can be congenital or acquired. Anatomically, they can be partial or generalized. The etiology of several lipodystrophies is well known. However, the cause of many others remains unknown. The commonest lipodystrophy worldwide is secondary to highly active anti-retroviral therapy in HIV-infected patients. By contrast, primary lipodystrophies (those not associated to any known disease or condition) are much less common and represent a diagnostic challenge. The major complications of lipodystrophies are metabolic, often resulting in severe insulin resistance, diabetes and dyslipidemia. No cure is available for lipodystrophies but the supplementation with recombinant leptin potently controls the metabolic abnormalities when there is a leptin deficiency. Herein, we review the clinical presentation, diagnostic process and therapeutic principles of the main primary lipodystrophy syndromes.info:eu-repo/semantics/openAccessSociedad Médica de SantiagoRevista médica de Chile v.147 n.11 20192019-11-01text/htmlhttp://www.scielo.cl/scielo.php?script=sci_arttext&pid=S0034-98872019001101449es10.4067/S0034-98872019001101449 |
institution |
Scielo Chile |
collection |
Scielo Chile |
language |
Spanish / Castilian |
topic |
Adipose Tissue Diabetes Melllitus Insulin Resistance Leptin Lipodystrophy |
spellingShingle |
Adipose Tissue Diabetes Melllitus Insulin Resistance Leptin Lipodystrophy CORTÉS,VÍCTOR SANTOS,JOSÉ LUIS Lipodistrofias primarias: presentación clínica y diagnóstico |
description |
Lipodystrophies are a heterogeneous group of syndromes defined by a severe reduction of the adipose tissue. These can be congenital or acquired. Anatomically, they can be partial or generalized. The etiology of several lipodystrophies is well known. However, the cause of many others remains unknown. The commonest lipodystrophy worldwide is secondary to highly active anti-retroviral therapy in HIV-infected patients. By contrast, primary lipodystrophies (those not associated to any known disease or condition) are much less common and represent a diagnostic challenge. The major complications of lipodystrophies are metabolic, often resulting in severe insulin resistance, diabetes and dyslipidemia. No cure is available for lipodystrophies but the supplementation with recombinant leptin potently controls the metabolic abnormalities when there is a leptin deficiency. Herein, we review the clinical presentation, diagnostic process and therapeutic principles of the main primary lipodystrophy syndromes. |
author |
CORTÉS,VÍCTOR SANTOS,JOSÉ LUIS |
author_facet |
CORTÉS,VÍCTOR SANTOS,JOSÉ LUIS |
author_sort |
CORTÉS,VÍCTOR |
title |
Lipodistrofias primarias: presentación clínica y diagnóstico |
title_short |
Lipodistrofias primarias: presentación clínica y diagnóstico |
title_full |
Lipodistrofias primarias: presentación clínica y diagnóstico |
title_fullStr |
Lipodistrofias primarias: presentación clínica y diagnóstico |
title_full_unstemmed |
Lipodistrofias primarias: presentación clínica y diagnóstico |
title_sort |
lipodistrofias primarias: presentación clínica y diagnóstico |
publisher |
Sociedad Médica de Santiago |
publishDate |
2019 |
url |
http://www.scielo.cl/scielo.php?script=sci_arttext&pid=S0034-98872019001101449 |
work_keys_str_mv |
AT cortesvictor lipodistrofiasprimariaspresentacionclinicaydiagnostico AT santosjoseluis lipodistrofiasprimariaspresentacionclinicaydiagnostico |
_version_ |
1718437092871110656 |