Progressive Metabolic Dysfunction-Associated Steatotic Liver Disease (MASLD) from a Young Age Due to a Rare Genetic Disorder, Familial Partial Lipodystrophy: A Case Report and Review of the Literature

Steatotic liver disease is common in the general population and is associated with higher risk for cardiovascular diseases. Early diagnosis and appropriate therapy can prevent the development of irreversible end-stage liver fibrosis and reduce liver-related and cardiovascular mortality. It is import...

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Main Authors: Elena Vorona, Ekaterina Sorkina, Jonel Trebicka
Format: Article
Language:English
Published: MDPI AG 2024-12-01
Series:Livers
Subjects:
Online Access:https://www.mdpi.com/2673-4389/4/4/47
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author Elena Vorona
Ekaterina Sorkina
Jonel Trebicka
author_facet Elena Vorona
Ekaterina Sorkina
Jonel Trebicka
author_sort Elena Vorona
collection DOAJ
description Steatotic liver disease is common in the general population and is associated with higher risk for cardiovascular diseases. Early diagnosis and appropriate therapy can prevent the development of irreversible end-stage liver fibrosis and reduce liver-related and cardiovascular mortality. It is important to recognise not only the common causes of metabolic dysfunction-associated steatotic liver disease, such as type 2 diabetes mellitus or morbid obesity, but also rare conditions, because their treatment is different from conventional therapy. Here, we report a female patient with familial partial lipodystrophy, in whom the diagnosis was not confirmed until several years after the initial manifestation, which delayed the start of pathogenetic therapy. After the initiation of leptin replacement therapy, a significant improvement in liver stiffness measurement was achieved within a few months. In addition, we summarise the current treatment options for diabetes and their influence on steatosis hepatis.
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publisher MDPI AG
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series Livers
spelling doaj-art-7ff19c3d659841d3abaaf4bdc8a1d54c2024-12-27T14:36:31ZengMDPI AGLivers2673-43892024-12-014468869510.3390/livers4040047Progressive Metabolic Dysfunction-Associated Steatotic Liver Disease (MASLD) from a Young Age Due to a Rare Genetic Disorder, Familial Partial Lipodystrophy: A Case Report and Review of the LiteratureElena Vorona0Ekaterina Sorkina1Jonel Trebicka2Medical Clinic B for Gastroenterology, Hepatology, Endocrinology and Clinical Infectiology, University Hospital Muenster, 48149 Muenster, GermanyTranslational and Clinical Research Institute, Newcastle University, Newcastle NE1 7RU, UKMedical Clinic B for Gastroenterology, Hepatology, Endocrinology and Clinical Infectiology, University Hospital Muenster, 48149 Muenster, GermanySteatotic liver disease is common in the general population and is associated with higher risk for cardiovascular diseases. Early diagnosis and appropriate therapy can prevent the development of irreversible end-stage liver fibrosis and reduce liver-related and cardiovascular mortality. It is important to recognise not only the common causes of metabolic dysfunction-associated steatotic liver disease, such as type 2 diabetes mellitus or morbid obesity, but also rare conditions, because their treatment is different from conventional therapy. Here, we report a female patient with familial partial lipodystrophy, in whom the diagnosis was not confirmed until several years after the initial manifestation, which delayed the start of pathogenetic therapy. After the initiation of leptin replacement therapy, a significant improvement in liver stiffness measurement was achieved within a few months. In addition, we summarise the current treatment options for diabetes and their influence on steatosis hepatis.https://www.mdpi.com/2673-4389/4/4/47metabolic dysfunction-associated steatotic liver disease (MASLD)diabetes mellitushypertriglyceridemiafamilial partial lipodystrophy (FPL)LMNA
spellingShingle Elena Vorona
Ekaterina Sorkina
Jonel Trebicka
Progressive Metabolic Dysfunction-Associated Steatotic Liver Disease (MASLD) from a Young Age Due to a Rare Genetic Disorder, Familial Partial Lipodystrophy: A Case Report and Review of the Literature
Livers
metabolic dysfunction-associated steatotic liver disease (MASLD)
diabetes mellitus
hypertriglyceridemia
familial partial lipodystrophy (FPL)
LMNA
title Progressive Metabolic Dysfunction-Associated Steatotic Liver Disease (MASLD) from a Young Age Due to a Rare Genetic Disorder, Familial Partial Lipodystrophy: A Case Report and Review of the Literature
title_full Progressive Metabolic Dysfunction-Associated Steatotic Liver Disease (MASLD) from a Young Age Due to a Rare Genetic Disorder, Familial Partial Lipodystrophy: A Case Report and Review of the Literature
title_fullStr Progressive Metabolic Dysfunction-Associated Steatotic Liver Disease (MASLD) from a Young Age Due to a Rare Genetic Disorder, Familial Partial Lipodystrophy: A Case Report and Review of the Literature
title_full_unstemmed Progressive Metabolic Dysfunction-Associated Steatotic Liver Disease (MASLD) from a Young Age Due to a Rare Genetic Disorder, Familial Partial Lipodystrophy: A Case Report and Review of the Literature
title_short Progressive Metabolic Dysfunction-Associated Steatotic Liver Disease (MASLD) from a Young Age Due to a Rare Genetic Disorder, Familial Partial Lipodystrophy: A Case Report and Review of the Literature
title_sort progressive metabolic dysfunction associated steatotic liver disease masld from a young age due to a rare genetic disorder familial partial lipodystrophy a case report and review of the literature
topic metabolic dysfunction-associated steatotic liver disease (MASLD)
diabetes mellitus
hypertriglyceridemia
familial partial lipodystrophy (FPL)
LMNA
url https://www.mdpi.com/2673-4389/4/4/47
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