raremaprare-disease reference indexOrphadata 2026-06-23 · HPO 2026-09-01
ORPHA:98908

Neutral lipid storage disease with myopathy

Synonyms: Adipose triglyceride lipase deficiency · NLSDM · Neutral lipid storage disease type M · Neutral lipid storage disease with myopathy without ichthyosis

Type
Disease
Group
Disorder
Inheritance
Autosomal recessive
Age of onset
Adult
Status
active

A form of neutral lipid storage disease characterized by adult onset of slowly progressive muscular weakness of the limbs and axial muscles, and accumulation of lipid droplets in the muscles and leukocytes.

1

Names in Orphadata languages

12 of 12 languages
LangNameSynonyms
enNeutral lipid storage disease with myopathyAdipose triglyceride lipase deficiency · NLSDM · Neutral lipid storage disease type M · Neutral lipid storage disease with myopathy without ichthyosis
frMyopathie à surcharge lipidique multisystémiqueMaladie à surcharge lipidique avec myopathie sans ichtyose · NLSDM
deNeutralfett-Speicherkrankheit mit MyopathieAdipose Triglycerid-Lipase-Defizienz · NLSDM · Neutralfett-Speicherkrankheit Typ M · Neutralfett-Speicherkrankheit mit Myopathie ohne Ichthyose
esEnfermedad por depósito de lípidos neutros con miopatíaNLSDM · Deficiencia de lipasa adipocítica de triglicéridos · Deficiencia de lipasa de triglicéridos adiposos · Enfermedad de depósito de lípidos neutros con miopatía sin ictiosis · Enfermedad de depósito de lípidos neutros tipo M
itMalattia da deposito di lipidi neutri con miopatiaDeficit della lipasi adipocitaria dei trigliceridi · Malattia da deposito di lipidi neutri con miopatia senza ittiosi · Malattia da deposito di lipidi neutri tipo M · NLSDM
nlNeutrale vetstapelingsziekte met myopathieDeficiëntie van adipose triglyceride lipase · NLSDM · Neutrale vetstapelingsziekte met myopathie zonder ichthyosis · Neutrale vetstapelingsziekte type M
ptDoença de armazenamento de lípidos neutros com miopatiaDeficiência adiposa da lipase de triglicerídeos · Doença de armazenamento de lipidos neutros com miopatia sem ictiose · Doença de armazenamento de lipidos neutros tipo M · NLSDM
plMiopatia spichrzania neutralnych tłuszczyChoroba spichrzania neutralnych tłuszczy z miopatią bez rybiej łuski · Kardiomiowaskulopatia z odkładaniem się trójglicerydów · NLSDM · Choroba spichrzania neutralnych lipidów z miopatią
csMyopatie s ukládáním neutrálních lipidůNLSDM · Střádavé onemocnění neutrálních lipidů s myopatií bez ichtyózy · Kardiomyovaskulopatie s depozity triglyceridů
ukХвороба накопичення нейтральних ліпідів з міопатієюДефіцит жирової тригліцеридної ліпази · Хвороба накопичення нейтральних ліпідів, тип М · Хвороба накопичення нейтральних ліпідів з міопатією без іхтіозу · NLSDM
zh中性脂质贮积性肌病中性脂质贮积病伴肌病不伴鱼鳞病
trNötr lipid depo miyopatisiNLSDM · İktiyozsuz miyopatili nötr lipid depo hastalığı

Definition in:

2

Cross-references

qualifier = Orphanet mapping relation
SourceCodeQualifierICD relationValidation
OMIM610717Evalidated
ICD-10E75.5NTBTattributedvalidated
ICD-115C52.2NTBTindexvalidated
MONDO0012545Evalidated
MeSHC565192Evalidated
UMLSC1853136Evalidated
GARD10288Evalidated

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

1 direct
GeneAssociationStatusHGNCEnsemblOMIMLocusNameSource of validation
PNPLA2Disease-causing germline mutation(s) inAssessedHGNC:30802ENSG0000017766660905911p15.5patatin like domain 2, triacylglycerol lipase17187067[PMID]
5

Prevalence and incidence

2 records
TypeClassValueAreaQualificationValidationSource
Cases/families36 casesWorldwideCase(s)Validated26600210[PMID]_28499397[PMID]
Point prevalence<1 / 1 000 000—WorldwideClass onlyValidatedORPHANET_26600210[PMID]_28499397[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

39 annotations · validated 2019-01-21
HPOTerm (as annotated by Orphanet)Diagnostic
Very frequent (99-80%)
HP:0012548Fatty replacement of skeletal muscle
HP:0012240Increased intramyocellular lipid droplets
HP:0009073Progressive proximal muscle weaknessDiagnostic criterion
HP:0003547Shoulder girdle muscle weakness
Frequent (79-30%)
HP:0040081Abnormal circulating creatine kinase concentration
HP:0001638Cardiomyopathy
HP:0009046Difficulty running
HP:0003388Easy fatigability
HP:0002910Elevated circulating hepatic transaminase concentration
HP:0002380Fasciculations
HP:0001288Gait disturbance
HP:0001290Generalized hypotonia
HP:0003391Gowers sign
HP:0001397Hepatic steatosis
HP:0002155Hypertriglyceridemia
HP:0025435Increased circulating lactate dehydrogenase concentration
HP:0001270Motor delay
HP:0003326Myalgia
HP:0003198MyopathyDiagnostic criterion
HP:0003749Pelvic girdle muscle weakness
HP:0008167Very long chain fatty acid accumulation
Occasional (29-5%)
HP:0001284Areflexia
HP:0006280Chronic pancreatitis
HP:0001635Congestive heart failure
HP:0000819Diabetes mellitus
HP:0009027Foot dorsiflexor weakness
HP:0009055Generalized limb muscle atrophy
HP:0030237Hand muscle weakness
HP:0002240Hepatomegaly
HP:0001256Intellectual disability, mild
HP:0000467Neck muscle weakness
HP:0009063Progressive distal muscle weakness
HP:0003805Rimmed vacuoles
HP:0000407Sensorineural hearing impairment
HP:0004322Short stature
Very rare (<4-1%)
HP:0001082Cholecystitis
HP:0012683Pineal cyst
Excluded (0%)
HP:0008064Ichthyosis
HP:0001513Obesity

Run the differential on the 4 obligate / very frequent terms

Annotation source: 17187067[PMID]_21544567[PMID]_24836204[PMID]_19038890[PMID]_19729869[PMID]

7

Sources for this card