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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Autores principales: CORTÉS,VÍCTOR, SANTOS,JOSÉ LUIS
Lenguaje:Spanish / Castilian
Publicado: Sociedad Médica de Santiago 2019
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Acceso en línea:http://www.scielo.cl/scielo.php?script=sci_arttext&pid=S0034-98872019001101449
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spelling 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
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