Clinical features | Patient 1 | Patient 2 | Patient 3 |
---|---|---|---|
Sex | Woman | Woman | Man |
Age of onset | 12-day-old | 7-year-old | 4-month-old |
Physical examination | |||
Skin | Normal | Acanthosis nigricans, Hirsutism | Hirsutism |
Fat | Face lipoatrophy | General lipoatrophy | General lipoatrophy |
Muscle | Normal | Muscular hypertrophy | Muscular hypertrophy |
Acra | Normal | Acromegaloid features | Acromegaloid features |
Heart | Atrial septal defect | Cardiac murmur | Cardiac murmur |
Liver | Hepatomegaly | Hepatomegaly | Hepatomegaly |
Other characteristics | Simian line | Crassitude of the penis | |
Laboratory examinations | Hypertriglyceridemia | Hypertriglyceridemia | Hypertriglyceridemia |
Diabetes | Diabetes | Diabetes | |
Hepatic adipose infiltration | Hyperinsulinemia | Hyperinsulinemia | |
Liver dysfunction | hepatocirrhosis | Hepatic adipose infiltration | |
Liver dysfunction | Liver dysfunction | ||
Left ventricle hypertrophy | Pancreatitis | ||
Mild mental retardation | Severe obstructive and asymmetrical septal hypertrophic cardiomyopathy | ||
Gene analysis | c.793C > T(p.Arg265*) | c.565G > T(p.Glu189*) | c.565G > T(p.Glu189*) |
c.565G > T(p.Glu189*) | c.565G > T(p.Glu189*) | c.565G > T(p.Glu189*) |