Case Report: Dramatic metabolic improvement with tirzepatide in a patient with acquired partial lipodystrophy following hematopoietic stem cell transplantation - Summary - MDSpire

Case Report: Dramatic metabolic improvement with tirzepatide in a patient with acquired partial lipodystrophy following hematopoietic stem cell transplantation

  • By

  • Yuri Tanaka

  • Hiroaki Ueno

  • Hirotake Sawada

  • Ayaka Konagata

  • Taisuke Uchida

  • Yudai Uehira

  • Fumiko Kogo

  • Akari Sekishima

  • Hiroshi Moritake

  • Hideki Yamaguchi

  • Kazuya Shimoda

  • June 19, 2026

  • 0 min

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Objective:

To report a case of acquired partial lipodystrophy developing after hematopoietic stem cell transplantation and to evaluate the therapeutic response to tirzepatide in this specific patient.

Approach:
    Key Findings:
    • The patient exhibited significant metabolic abnormalities associated with acquired partial lipodystrophy.
    • Tirzepatide led to dramatic improvements in glycemic control, allowing for the discontinuation of insulin therapy.
    • The HMW/total adiponectin ratio increased post-treatment, indicating potential improvement in adipocyte function.
    Interpretation:

    The case suggests that dual incretin receptor agonism may be an effective therapeutic strategy for managing severe insulin resistance linked to adipose tissue dysfunction.

    Limitations:
    • The findings are based on a single case study, limiting generalizability.
    • Long-term effects and safety of tirzepatide in this context remain to be established.
    Conclusion:

    This case highlights the response to tirzepatide in treating metabolic disturbances associated with acquired partial lipodystrophy following HSCT.

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