Table 1 Characteristics of the cases/families
Characteristic | Lamin A/C gene abnormality | ||
---|---|---|---|
R527P (exon 9) missense | R527P (exon 9) missense | R60G (exon 1) missense | |
(±) = not present; (+) = present; AF = atrial fibrillation. | |||
Ancestry | Dutch | Italian | French |
Presenting feature | Weakness | Abnormal gait | Congestive heart failure |
Age at onset of lipodystrophy | 16 y | Second/third decade | Adolescence |
Lipodystrophy distribution | “Buffalo hump,” increased visceral fat, lipoatrophy of limbs | Lipoatrophy of trunk and proximal limbs | Increased fat in face and neck, lipoatrophy in limbs |
Age at onset of muscle weakness | 13 | Childhood | − |
Distribution of muscle weakness | Limb girdle | Humeroperoneal/limb girdle | − |
Rigid spine | + | + | − |
Contractures | + | + | − |
Cardiomyopathy | − | − | + |
Cardiac conduction abnormalities | + (AF) | + (AF) | + |
Triglyceride (TG)/cholesterol | Slightly increased TG | Normal | Increased TG |
Diabetes/hyperinsulinemia | − | Normal | Diabetes mellitus |