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American Journal of Roentgenology, Vol 101, 884-896, Copyright © 1967 by American Roentgen Ray Society


LIPOATROPHIC DIABETES MELLITUS (GENERALIZED LIPODYSTROPHY): ROENTGEN FINDINGS IN TWO BROTHERS WITH CONGENITAL DISEASE

RICHARD H. GOLD M.D.1 and HOWARD L. STEINBACH M.D.1

1 From the Department of Radiology, University of California School of Medicine, San Francisco, California

The syndrome of lipoatrophic diabetes is reviewed. The unique roentgenographic findings in 2 brothers with the congenital form of this disease are presented. Absent body fat, combined with well developed muscles, produced a characteristic appearance of the soft tissues. Other striking features were a generalized increase in skeletal density, localized areas of bone sclerosis, unusually elongated epiphyses, abnormalities of skull, and organomegaly. Advanced skeletal maturation was demonstrated in the younger brother. The possible pathophysiologic significance of some of these findings is discussed.


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