ESPE2022 Rapid Free Communications Fat, Metabolism and Obesity (6 abstracts)
Background: Lipodystrophy syndromes comprise a large group of extremely rare diseases characterized by loss or dysfunction of adipose tissue. Due to their extreme rarity and variability, research in the field of lipodystrophy is difficult for single centres warranting larger co-operations.
Methods: Therefore, the European Consortium of Lipodystrophies decided to found an international registry in 2016. This registry is based on an open-source software “OSSE” specifically designed for multicentre international registries for rare diseases, covering all aspects of General Data Protection Regulation (EU) of May 25, 2018. The registry has been registered at clinical trials (ClinicalTrials.gov ID: NCT03553420) and EURECA.
Results: Since the end of 2017, the registry is actively recruiting patients. Currently, 23 centres in Europe and neighbouring country are participating in the registry, 17 of which are recruiting patients. Until March 22, 517 patients with lipodystrophy have been included in the registry, of which 80% are female and 83% adults with a mean age of 38.7 years (36.8-40.6). However, 17.2% are younger than 18 years of age; 12.4% even younger than 14 years of age. The predominant diagnosis is familial partial lipodystrophy (FPLD) 2 (39%), followed by FPLD1 (11%), congenital generalized lipodystrophy (CGL) 1 (8%), Barraquer Simons Syndrome (7%). 30 different diagnosis are documented in the registry all together. Nearly 80% of the patients suffer from dyslipidaemia; diabetes mellitus and fatty liver are each diagnosed in 55% of all patients, hypertension in 35% of all patients. 23.5% of all patients have a polycystic ovary syndrome. Steatohepatitis and albuminuria are documented each in 15% of the patients. Muscular and cardiac co-morbidities are rarer, however, 16% of all patients reported muscular pain/myalgia; and hypertrophic cardiomyopathy, ischemic cardiomyopathy and hypertrophic cardiomyopathy are each found in 8-11% of the patients.
Conclusion: Our results highlight the high burden of co-morbidities especially metabolic problems in this patient group. As we have assembled the word-wide largest collection of patients with lipodystrophy, we will have the unique possibility in the future to analyse the natural course and also treatment outcomes in this vulnerable group of patients.
15 Sep 2022 - 17 Sep 2022