Neutral lipid storage disease with myopathy (NLSDM)

Written and reviewed by Dr Ibrahim Imam, Consultant Neurologist. Last reviewed .

Neutral lipid storage disease with myopathy (NLSDM). This is caused by mutations in the PNPLA2 gene. Fully referenced neurology checklist.

Genetics

  • This is caused by mutations in the PNPLA2 gene
  • The gene encodes adipose triglyceride lipase (ATGL)
  • The transmission is autosomal recessive

Pathological features

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Muscle features

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Cardiac features

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Hepatic features

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Endocrine features

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Other clinical features

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Blood tests

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Muscle biopsy: features

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Magnetic resonance imaging (MRI)

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Synonym

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References

  1. Missaglia S, Maggi L, Mora M, et al. Late onset of neutral lipid storage disease due to novel PNPLA2 mutations causing total loss of lipase activity in a patient with myopathy and slight cardiac involvement. Neuromuscul Disord 2017; 27:481-486.
  2. Latimer CS, Schleit J, Reynolds A, et al. Neutral lipid storage disease with myopathy: further phenotypic characterization of a rare PNPLA2 variant. Neuromuscul Disord 2018; 28:606-609.
  3. Tan J, Yang H, Fan J, Fan Y, Xiao F. Patients with neutral lipid storage disease with myopathy (NLSDM) in Southwestern China. Clin Neurol Neurosurg 2018; 168:102-107.
  4. Pennisi EM, Arca M, Bertini E, et al; Italian NLSD Group. Neutral lipid storage diseases: clinical/genetic features and natural history in a large cohort of Italian patients. Orphanet J Rare Dis 2017; 12:90.
  5. Massa R, Pozzessere S, Rastelli E, et al. Neutral lipid-storage disease with myopathy and extended phenotype with novel PNPLA2 mutation. Muscle Nerve 2016; 53:644-648.
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