raremaprare-disease reference indexOrphadata 2026-06-23 · HPO 2026-09-01
ORPHA:1979

Lipodystrophy due to peptidic growth factors deficiency

Synonyms: Combined insulin, insulin-like growth factor 1 (IGF1) and epidermal growth factor (EGF) deficiency · Hoepffner-Dreyer-Reimers syndrome · Werner-like syndrome due to combined growth factor deficiency

Type
Disease
Group
Disorder
Inheritance
Unknown
Age of onset
Neonatal
Status
active

A rare genetic lipodystrophy characterized by loss of subcutaneous fat layers on the limbs, lipodystrophy in the face and trunk and scleroderma-like skin disorders (thickened skin on the palms and soles and skin pigment changes on the limbs and trunk). Additional clinical signs include joint contractures, reduced relative body weight, a bird-like facial appearance with a beaked nose, micrognathia and insulin-resistant diabetes mellitus.

1

Names in Orphadata languages

12 of 12 languages
LangNameSynonyms
enLipodystrophy due to peptidic growth factors deficiencyCombined insulin, insulin-like growth factor 1 (IGF1) and epidermal growth factor (EGF) deficiency · Hoepffner-Dreyer-Reimers syndrome · Werner-like syndrome due to combined growth factor deficiency
frLipodystrophie par déficit en facteurs de croissance peptidiquesDéficit combiné en insuline, facteur de croissance IGF1, facteur de croissance épidermique EGF · Syndrome de Hoepffner-Dreyer-Reimers · Syndrome de type Werner par déficit en facteurs de croissance
deLipodystrophie durch peptidischen WachstumsfaktormangelHoepffner-Dreyer-Reimers-Syndrom · Kombinierter Mangel an Insulin, IGF1 (insulin-like growth factor 1) und EGF (epidermal growth factor) · Werner-ähnliches Syndrom durch kombinierten Wachstumsfaktormangel
esLipodistrofia por deficiencia de factores de crecimiento peptídicosDeficiencia combinada de insulina, factor de crecimiento insulímico tipo 1 (IGF1) y factor de crecimiento epidérmico (EGF) · Síndrome de Hoepffner-Dreyer-Reimers · Síndrome tipo Werner por deficiencia combinada de factores de crecimiento
itLipodistrofia da deficit dei fattori di crescita peptidiciDeficit combinato dell'insulina, del fattore di crescita epidermico (EGF) e del fattore 1 di crescita insulino-simile (IGF1) · Sindrome Werner-simile da deficit combinato dei fattori di crescita · Sindrome di Hoepffner-Dreyer-Reimers
nlLipodystrofie door deficiëntie van peptidische groeifactorenGecombineerde deficiëntie van insuline, insulineachtige groeifactor 1 (IGF1) en epidermale groeifactor (EGF) · Syndroom van Hoepffner-Dreyer-Reimers · Werner-achtig syndroom door gecombineerde deficiëntie van groeifactoren
ptLipodistrofia devida a deficiência de fatores de crecimento peptídicosSíndrome Hoepffner-Dreyer-Reimers
plLipodystrofia z powodu niedoboru peptydowego czynnika wzrostuMieszany Niedobór insuliny, insulinopodobnego czynnika wzrostu (IGF1) i czynnika wzrostu naskórka (EGF) · Zespół Hoepffnera, Dreyera i Reimersa · Zespół podobny do zespołu Wernera spowodowany mieszanym niedoborem czynnika wzrostu
csLipodystrofie způsobená deficitem peptidových růstových faktorůKombinovaný deficit inzulinu, růstového faktoru 1 podobného inzulinu (IGF1) a epidermálního růstového faktoru (EGF) · Hoepffnerův-Dreyerův-Reimersův syndrom · Syndrom podobný Wernerovu způsobený kombinovaným deficitem růstového faktoru · Hoepffner-Dreyer-Reimersův syndrom
ukЛіподистрофія внаслідок дефіциту пептидних факторів ростуКомбінований дефіцит інсуліну, інсуліноподібного фактора росту 1 (IGF1) та епідермального фактора росту (EGF) · Синдром Гепфнера-Дрейєра-Реймерса · Синдром Вернера внаслідок комбінованого дефіциту фактора росту
zh肽生长因子缺乏所致脂质营养不良胰岛素、胰岛素样生长因子1(IGF1)和表皮生长因子(EGF)联合缺乏
trPeptit büyüme faktörleri eksikliğine bağlı lipodistrofiHoepffner-Dreyer-Reimers sendromu · Kombine büyüme faktörü eksikliğine bağlı Werner benzeri sendrom · Kombine insülin, insülin benzeri büyüme faktörü 1 (IGF1) ve epidermal büyüme faktörü (EGF) eksikliği

Definition in:

2

Cross-references

qualifier = Orphanet mapping relation
SourceCodeQualifierICD relationValidation
OMIM233805Evalidated
ICD-10E88.1NTBTattributedvalidated
ICD-11LD27.6ZNTBTindexvalidated
MONDO0009312Evalidated
UMLSC2931279Evalidated

E exact · NTBT this ORPHAcode is narrower than the target · BTNT broader than the target · ND not decided.

3

Classification

Preferential parent (Orphanet linearisation):

Parents in the classifications (1):

No children.

4

Genes

0 direct

Orphanet records no gene directly on this code.

5

Prevalence and incidence

2 records
TypeClassValueAreaQualificationValidationSource
Cases/families1 familiesWorldwideFamily(ies)Validated2477323[PMID]
Point prevalence<1 / 1 000 000—WorldwideClass onlyValidatedORPHANET_2477323[PMID]

Value is Orphadata's ValMoy: the mean estimate per 100 000 for prevalence and incidence, the number of cases or families for case reports.

6

HPO phenotypes

28 annotations · validated 2016-06-01
HPOTerm (as annotated by Orphanet)Diagnostic
Very frequent (99-80%)
HP:0000271Abnormality of the face
HP:0008065Aplasia/Hypoplasia of the skin
HP:0004326Cachexia
HP:0000444Convex nasal ridge
HP:0001371Flexion contracture
HP:0001387Joint stiffness
HP:0100679Lack of skin elasticity
HP:0100578Lipoatrophy
HP:0009125Lipodystrophy
HP:0000347Micrognathia
HP:0000160Narrow mouth
HP:0000982Palmoplantar keratoderma
HP:0000767Pectus excavatum
HP:0001763Pes planus
HP:0003758Reduced subcutaneous adipose tissue
HP:0001072Thickened skin
HP:0001824Weight loss
Frequent (79-30%)
HP:0003119Abnormal circulating lipid concentration
HP:0000765Abnormal thorax morphology
HP:0001000Abnormality of skin pigmentation
HP:0001595Abnormality of the hair
HP:0002814Abnormality of the lower limb
HP:0002817Abnormality of the upper limb
HP:0002621Atherosclerosis
HP:0010980Hyperlipoproteinemia
HP:0002216Premature graying of hair
HP:0004349Reduced bone mineral density
HP:0100651Type I diabetes mellitus

Run the differential on the 12 obligate / very frequent terms

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Sources for this card