National Center for Advancing and Translational Sciences Genetic and Rare Diseases Information Center, a program of the National Center for Advancing and Translational Sciences

Congenital generalized lipodystrophy type 4



Other Names:
Lipodystrophy, congenital generalized, type 4; CGL4; Berardinelli-Seip congenital lipodystrophy, type 4, with muscular dystrophy; Lipodystrophy, congenital generalized, type 4; CGL4; Berardinelli-Seip congenital lipodystrophy, type 4, with muscular dystrophy; Lipodystrophy, Berardinelli-Seip congenital, type 4, with muscular dystrophy; Generalized congenital lipodystrophy with myopathy; GCL4 See More
Categories:
This disease is grouped under:

This table lists symptoms that people with this disease may have. For most diseases, symptoms will vary from person to person. People with the same disease may not have all the symptoms listed. This information comes from a database called the Human Phenotype Ontology (HPO) . The HPO collects information on symptoms that have been described in medical resources. The HPO is updated regularly. Use the HPO ID to access more in-depth information about a symptom.

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Medical Terms Other Names
Learn More:
HPO ID
5%-29% of people have these symptoms
Hirsutism
Excessive hairiness
0001007
Percent of people who have these symptoms is not available through HPO
Acanthosis nigricans
Darkened and thickened skin
0000956
Atrial fibrillation
Quivering upper heart chambers resulting in irregular heartbeat
0005110
Autosomal recessive inheritance 0000007
Bradycardia
Slow heartbeats
0001662
Constipation 0002019
Decreased circulating IgA level 0002720
Dilatation
Wider than typical opening or gap
0002617
Dysphagia
Poor swallowing
Swallowing difficulties
Swallowing difficulty
[ more ]
0002015
Elevated hepatic transaminase
High liver enzymes
0002910
Elevated serum creatine kinase
Elevated blood creatine phosphokinase
Elevated circulating creatine phosphokinase
Elevated creatine kinase
Elevated serum CPK
Elevated serum creatine phosphokinase
High serum creatine kinase
Increased CPK
Increased creatine kinase
Increased creatine phosphokinase
Increased serum CK
Increased serum creatine kinase
Increased serum creatine phosphokinase
[ more ]
0003236
Exercise intolerance
Decreased ability to exercise
Inability to exercise
[ more ]
0003546
Failure to thrive
Faltering weight
Weight faltering
[ more ]
0001508
Feeding difficulties
Feeding problems
Poor feeding
[ more ]
0011968
Flexion contracture
Flexed joint that cannot be straightened
0001371
Generalized muscle weakness 0003324
Hepatic steatosis
Fatty infiltration of liver
Fatty liver
[ more ]
0001397
Hepatomegaly
Enlarged liver
0002240
Hyperinsulinemia 0000842
Hyperlordosis
Prominent swayback
0003307
Hypertriglyceridemia
Increased plasma triglycerides
Increased serum triglycerides
Increased triglycerides
[ more ]
0002155
Ileus 0002595
Infantile onset
Onset in first year of life
Onset in infancy
[ more ]
0003593
Insulin resistance
Body fails to respond to insulin
0000855
Lipodystrophy
Inability to make and keep healthy fat tissue
0009125
Muscle mounding 0003719
Muscle stiffness 0003552
Muscular dystrophy 0003560
Myalgia
Muscle ache
Muscle pain
[ more ]
0003326
Osteopenia 0000938
Osteoporosis 0000939
Prolonged QT interval 0001657
Prominent umbilicus
Prominent belly button
Prominent navel
[ more ]
0001544
Proximal muscle weakness
Weakness in muscles of upper arms and upper legs
0003701
Pyloric stenosis 0002021
Recurrent infections
Frequent infections
Frequent, severe infections
Increased frequency of infection
infections, recurrent
Predisposition to infections
Susceptibility to infection
[ more ]
0002719
Scoliosis 0002650
Skeletal muscle hypertrophy
Increased skeletal muscle cells
0003712
Spinal rigidity
Reduced spine movement
0003306
Splenomegaly
Increased spleen size
0001744
Tachycardia
Fast heart rate
Heart racing
Racing heart
[ more ]
0001649
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Last updated: 7/1/2020

Making a diagnosis for a genetic or rare disease can often be challenging. Healthcare professionals typically look at a person’s medical history, symptoms, physical exam, and laboratory test results in order to make a diagnosis. The following resources provide information relating to diagnosis and testing for this condition. If you have questions about getting a diagnosis, you should contact a healthcare professional.

Testing Resources

  • Orphanet lists international laboratories offering diagnostic testing for this condition.

The resources below provide information about treatment options for this condition. If you have questions about which treatment is right for you, talk to your healthcare professional.

Management Guidelines

  • The NORD Physician Guide for Congenital generalized lipodystrophy type 4 was developed as a free service of the National Organization for Rare Disorders (NORD) and it's medical advisors.  The guides provide a resource for clinicians about specific rare disorders to facilitate diagnosis and treatment of their patients with this condition. 

FDA-Approved Treatments

The medication(s) listed below have been approved by the Food and Drug Administration (FDA) as orphan products for treatment of this condition. Learn more orphan products.

  • metreleptin (Brand name: Myalept) - Manufactured by Amylin Pharmaceuticals, LLC
    FDA-approved indication: Adjunct to diet as replacement therapy to treat the complications of leptin deficiency in patients with congenital or acquired generalized lipodystrophy.
    National Library of Medicine Drug Information Portal

If you need medical advice, you can look for doctors or other healthcare professionals who have experience with this disease. You may find these specialists through advocacy organizations, clinical trials, or articles published in medical journals. You may also want to contact a university or tertiary medical center in your area, because these centers tend to see more complex cases and have the latest technology and treatments.

If you can’t find a specialist in your local area, try contacting national or international specialists. They may be able to refer you to someone they know through conferences or research efforts. Some specialists may be willing to consult with you or your local doctors over the phone or by email if you can't travel to them for care.

You can find more tips in our guide, How to Find a Disease Specialist. We also encourage you to explore the rest of this page to find resources that can help you find specialists.

Healthcare Resources


Research helps us better understand diseases and can lead to advances in diagnosis and treatment. This section provides resources to help you learn about medical research and ways to get involved.

Clinical Research Resources

  • Orphanet lists European clinical trials, research studies, and patient registries enrolling people with this condition. 

These resources provide more information about this condition or associated symptoms. The in-depth resources contain medical and scientific language that may be hard to understand. You may want to review these resources with a medical professional.

In-Depth Information

  • The Monarch Initiative brings together data about this condition from humans and other species to help physicians and biomedical researchers. Monarch’s tools are designed to make it easier to compare the signs and symptoms (phenotypes) of different diseases and discover common features. This initiative is a collaboration between several academic institutions across the world and is funded by the National Institutes of Health. Visit the website to explore the biology of this condition.
  • Online Mendelian Inheritance in Man (OMIM) is a catalog of human genes and genetic disorders. Each entry has a summary of related medical articles. It is meant for health care professionals and researchers. OMIM is maintained by Johns Hopkins University School of Medicine. 
  • Orphanet is a European reference portal for information on rare diseases and orphan drugs. Access to this database is free of charge.
  • PubMed is a searchable database of medical literature and lists journal articles that discuss Congenital generalized lipodystrophy type 4. Click on the link to view a sample search on this topic.

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