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Table 3 Comparison of disease characteristics and metabolic parameters by CGL subtype

From: Analysis of disease characteristics of a large patient cohort with congenital generalized lipodystrophy from the Middle East and North Africa

 

CGL1 subtype

CGL2 subtype

CGL4 subtype

P-value

Age at diagnosis, years

n(available)

14

18

10

 

Mean (± SD)

9.7 (± 10.6)

3.3 (± 8.4)

0.8 (± 0.8)

Median (range)

7 (0.1–37)

0.8 (0.1–36)

0.5 (at birth–2)

Sex, n/n(available) (%)

n(available)

14

18

10

 

Female

13 (93%)

16 (89%)

7 (70%)

Male

1 (7%)

2 (11%)

3 (30%)

Physical features, n/n(available) (%)

Acanthosis nigricans

9/14 (64)

10/14 (71)

0/10 (0)

0.001

Acromegaloid features

9/14 (64)

10/14 (71)

6/10 (60)

0.91

Organ system abnormalities, n/n(available) (%)

Bones/joints

4/14 (29)

2/18 (11)

2/10 (20)

0.48

Cardiovascular system

0/14 (0)

10/18 (56)

6/10 (60)

0.001

Liver

11/14 (79)

13/18 (72)

5/10 (50)

0.39

Hepatomegaly

8/14 (57)

13/18 (72)

5/10 (50)

0.51

Pancreas

2/14 (14)

1/18 (6)

0/10 (0)

0.59

Renal system

5/14 (36)

5/18 (28)

0/10 (0)

0.09

Spleen

3/14 (21)

6/18 (33)

5/10 (50)

0.34

Splenomegaly

3/14 (21)

6/18 (33)

5/10 (50)

0.34

Medication history, n/n(available) (%)

Anticoagulants

0/14 (0)

1/18 (6)

0/10 (0)

1.00

Anti-diabetic medication

6/14 (43)

2/18 (11)

0/10 (0)

0.02

Cardiovascular medication

1/14 (7)

4/18 (22)

2/10 (20)

0.57

Lipid-lowering medication/treatment

6/14 (43)

3/18 (17)

1/10 (10)

0.16

Metabolic parameters

FPG (mmol/L)

    

 n(available)

12

9

1

0.62*

 Mean (± SD)

9.7 (± 6.3)

7.4 (± 3.8)

4.0 (± 0.0)

 Median (range)

6.1 (4.2–19.3)

5.4 (4.0–14.0)

4.0 (4.0–4.0)

HbA1c (%)

 n(available)

11

12

4

0.41

 Mean (SD)

8.2 (± 3.8)

6.9 (± 2.6)

5.3 (± 0.4)

 Median (range)

5.8

(4.6–14.3)

5.8

(4.5–12.0)

5.3

(4.8–5.7)

  > 5.7%, n/n(available) (%)

6/11 (55)

6/12 (50)

0/4 (0)

0.19

  > 6.5%, n/n(available) (%)

5/11 (45)

5/12 (42)

0/4 (0)

0.37

  > 8.0%, n/n(available) (%)

5/11 (45)

3/12 (25)

0/4 (0)

0.23

Total cholesterol (mmol/L)*

 n(available)

12

13

3

0.04

 Mean (± SD)

5.7 (± 2.7)

4.5 (± 1.2)

3.2 (± 0.9)

 Median (range)

5.2

(3.8–13.2)

4.3

(3.0–7.7)

3.6

(2.1–3.8)

Triglycerides (mmol/L)

 n(available)

12

16

4

0.39

 Mean (± SD)

8.5 (± 10.6)

5.2 (± 4.4)

2.0 (± 0.6)

 Median (range)

2.5

(0.9–31.0)

3.9

(1.4–18.4)

1.8

(1.6–2.9)

 > 1.69 mmol/L,

n/n(available) (%)

7/12 (58)

13/16 (81)

2/4 (50)

0.28

 > 2.26 mmol/L,

n/n(available) (%)

6/12 (50)

12/16 (75)

1/4 (25)

0.14

 > 5.65 mmol/L,

n/n(available) (%)

4/12 (33)

5/16 (31)

0/4 (0)

0.65

ALT (IU/L)

 n(available)

12

14

8

0.09

 Mean (± SD)

48.0 (± 53.0)

89.0 (± 69.0)

54.0 (± 19.0)

 Median (range)

34.0

(14.0–198.0)

57.0

(20.0–232.0)

59.0

(30.0–78.0)

 > 35 IU/L,

n/n(available) (%)

6/12 (50)

10/14 (71)

5/8 (62)

0.61

  > 55 IU/L,

n/n(available) (%)

2/12 (17)

7/14 (50)

4/8 (50)

0.14

AST (IU/L)

 n(available)

10

15

8

0.02

 Mean (± SD)

34.0 (± 20.0)

65.0 (± 41.0)

58.0 (± 14.0)

 Median (range)

28.0

(15.0–76.0)

49.0

(26.0–187.0)

60.0

(36.0–78.0)

 > 35 IU/L,

n/n(available) (%)

4/10 (40)

12/15 (80)

8/8 (100)

0.01

 > 48 IU/L,

n/n(available) (%)

2/10 (20)

8/15 (53)

6/8 (75)

0.08

GGT (IU/L)

 n(available)

5

8

2

 

 Mean (± SD)

59 (± 66)

58 (± 26)

121 (0)

0.16

 Median (range)

44 (13–175)

55 (31–96)

121

(121–121)

Creatine kinase

 n(available)

5

7

8

0.002

 Mean (± SD)

76 (± 53)

131 (± 78)

2291 (± 1716)

 Median (range)

63 (16–160)

82 (60–249)

1810

(101–6000)

  1. Data were obtained at the time of patient diagnosis and during leptin-replacement naïve follow-up visits as permitted by available medical records. Statistical comparisons were made using median values. *P-value for comparison between CGL1 and CGL2 groups only. CGL4 group omitted due lack of data. ALT Alanine aminotransferase, AST Aspartate aminotransferase, CGL Congenital generalized lipodystrophy, FPG Fasting plasma glucose, HbA1c Glycated hemoglobin, n Number of patients exhibiting the disease characteristic, n(available), number of patients with available data, SD Standard deviation