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DOI: 10.1055/a-2040-3480
Long-term Electrodiagnostic Changes in Barraquer-Simons Syndrome: A Case Report
Elektrodiagnostische Langzeitveränderungen beim Barraquer-Simons Syndrom: eine FallvorstellungBackground
Barraquer-Simons syndrome, also called acquired partial lipodystrophy, is a rare disorder beginning in childhood or at puberty [1]. In some cases, a heterozygous mutation on chromosome 19p13 is evident [2]. The diagnosis is primarily based on typical clinical findings of symmetric subcutaneous fat loss over the face followed by fat loss in the upper half of the body with fat accumulation in the lower half of the body over time ([Fig. 1]). Systemic involvement is common and includes membranoproliferative glomerulonephritis (MPGN), metabolic syndrome, myopathy, deafness, epilepsy, and intellectual disability [3]. Specific retinal changes as, for instance, drusen, atrophic lesions, pigmentations, and development of choroidal neovascular membranes, are reported in patients with Barraquer-Simons syndrome [4], [5], [6]. The presented case aims to describe the long-term electrodiagnostic changes in a patient with Barraquer-Simons syndrome.
Publication History
Received: 10 September 2022
Accepted: 14 February 2023
Article published online:
25 April 2023
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References
- 1 Misra A, Peethambaram A, Garg A. Clinical features and metabolic and autoimmune derangements in acquired partial lipodystrophy: report of 35 cases and review of the literature. Medicine (Baltimore) 2004; 83: 18-34 DOI: 10.1097/01.md.0000111061.69212.59.
- 2 Hegele RA, Cao H, Liu DM. et al. Sequencing of the reannotated LMNB2 gene reveals novel mutations in patients with acquired partial lipodystrophy. Am J Hum Genet 2006; 79: 383-389 DOI: 10.1086/505885.
- 3 Miehle K, von Schnurbein J, Fasshauer M. et al. Lipodystrophie-Erkrankungen: Empfehlungen zur Diagnostik und zur Patientenversorgung. Med Genet 2017; 29: 374-388 DOI: 10.1007/s11825-017-0162-2.
- 4 Gaboriau T, Rigalleau V, Rougier MB. et al. Lifelong Progressive Retinal Atrophic Lesions in a Patient with Partial Acquired Lipodystrophy (Barraquer-Simons Syndrome). Retin Cases Brief Rep 2022; 16: 102-105 DOI: 10.1097/ICB.0000000000000916.
- 5 Davis TM, Holdright DR, Schulenberg WE. et al. Retinal pigment epithelial change and partial lipodystrophy. Postgrad Med J 1988; 64: 871-874 DOI: 10.1136/pgmj.64.757.871.
- 6 Jansen J, Delaere L, Spielberg L. et al. Long-term fundus changes in acquired partial lipodystrophy. BMJ Case Rep 2013; 2013: bcr2013201218 DOI: 10.1136/bcr-2013-201218.
- 7 Sissons JGP, West RJ, Fallows J. et al. The complement abnormalities of lipodystrophy. N Engl J Med 1976; 294: 461-465 DOI: 10.1056/NEJM197602262940902.
- 8 Dalvin LA, Fervenza FC, Sethi S. et al. Manifestations of Complement-Mediated and Immune Complex-Mediated Membranoproliferative Glomerulonephritis: A Comparative Consecutive Series. Ophthalmology 2016; 123: 1588-1594 DOI: 10.1016/j.ophtha.2016.02.018.
- 9 Appel GB, Cook HT, Hageman G. et al. Membranoproliferative glomerulonephritis type II (dense deposit disease): an update. J Am Soc Nephrol 2005; 16: 1392-1403 DOI: 10.1681/ASN.2005010078.
- 10 Framme C, Herboth T, Roider J. et al. [Subretinal neovascular membranes in membranoproliferative glomerulonephritis type II]. Klin Monbl Augenheilkd 1998; 213: 252-253 DOI: 10.1055/s-2008-1034983.
- 11 Michielsen B, Leys A, Van Damme B. et al. Fundus changes in chronic membranoproliferative glomerulonephritis type II. Doc Ophthalmol 1990; 76: 219-229 DOI: 10.1007/BF00142681.
- 12 Ulbig MR, Riordan-Eva P, Holz FG. et al. Membranoproliferative glomerulonephritis type II associated with central serous retinopathy. Am J Ophthalmol 1993; 116: 410-413 DOI: 10.1016/s0002-9394(14)71397-2.