PMID- 23333026 OWN - NLM STAT- MEDLINE DCOM- 20130702 LR - 20130129 IS - 1096-7206 (Electronic) IS - 1096-7192 (Linking) VI - 108 IP - 2 DP - 2013 Feb TI - Neutral lipid storage disease with myopathy: a whole-body nuclear MRI and metabolic study. PG - 125-31 LID - S1096-7192(12)00717-2 [pii] LID - 10.1016/j.ymgme.2012.12.004 [doi] AB - Neutral lipid storage disease with myopathy (NLSDM) is caused by a mutation in the gene encoding adipose triglyceride lipase (ATGL), and is characterized by the presence of numerous triglyceride-containing cytoplasmic droplets in type I muscle fibers. Major clinical manifestations concern the heart and skeletal muscle, and some patients also present diabetes mellitus. We report the clinical, metabolic, and whole-body nuclear magnetic resonance imaging findings of three patients with NLSDM. Muscle MRI study was consistent with previous descriptions, and allowed to show a common pattern of fatty replacement. Muscle changes predominated in the paravertebral muscles, both compartments of legs, and posterior compartment of the thighs. A more variable distribution of muscle involvement was observed on upper limbs, with marked asymmetry in one patient, and alterations predominating on supra and infra spinatus, biceps brachialis and anterior compartment of arms. Cardiac NMR studies revealed anomalies despite normal echocardiography in two patients. Endocrine studies showed low leptin and adiponectine levels, a moderate increase in insulin levels at fasting state, and even greater increase after oral glucose tolerance test in one patient. Two patients had elevated triglycerides and low cholesterol-HDL. Based on these analyses, regular control of cardiometabolic risks appear mandatory in the clinical follow-up of these subjects. CI - Copyright (c) 2012 Elsevier Inc. All rights reserved. FAU - Laforet, Pascal AU - Laforet P AD - AP-HP, Centre de Reference de pathologie neuromusculaire Paris-Est, Groupe Hospitalier Pitie-Salpetriere, Assistance Publique-Hopitaux de Paris, Paris, France. pascal.laforet@psl.aphp.fr FAU - Stojkovic, Tanya AU - Stojkovic T FAU - Bassez, Guillaume AU - Bassez G FAU - Carlier, Pierre G AU - Carlier PG FAU - Clement, Karine AU - Clement K FAU - Wahbi, Karim AU - Wahbi K FAU - Petit, Francois M AU - Petit FM FAU - Eymard, Bruno AU - Eymard B FAU - Carlier, Robert-Yves AU - Carlier RY LA - eng PT - Case Reports PT - Journal Article DEP - 20121228 PL - United States TA - Mol Genet Metab JT - Molecular genetics and metabolism JID - 9805456 RN - Neutral Lipid Storage Disease with Myopathy SB - IM MH - Adipose Tissue/metabolism/pathology MH - Adult MH - Female MH - Humans MH - Lipid Metabolism, Inborn Errors/*diagnosis/genetics/metabolism MH - *Magnetic Resonance Imaging MH - Male MH - Muscle, Skeletal/metabolism/pathology MH - Muscular Diseases/*diagnosis/genetics/metabolism MH - Mutation MH - *Whole Body Imaging EDAT- 2013/01/22 06:00 MHDA- 2013/07/03 06:00 CRDT- 2013/01/22 06:00 PHST- 2012/09/30 00:00 [received] PHST- 2012/12/19 00:00 [revised] PHST- 2012/12/19 00:00 [accepted] PHST- 2013/01/22 06:00 [entrez] PHST- 2013/01/22 06:00 [pubmed] PHST- 2013/07/03 06:00 [medline] AID - S1096-7192(12)00717-2 [pii] AID - 10.1016/j.ymgme.2012.12.004 [doi] PST - ppublish SO - Mol Genet Metab. 2013 Feb;108(2):125-31. doi: 10.1016/j.ymgme.2012.12.004. Epub 2012 Dec 28.