International Journal of Clinical & Medical Images

A 45-years-old female patient with uncontrolled diabetes mellitus and severe hyper tryglyceridemia has presented to endocrinology OPD. Pioglitazones were started as a part of her treatment. Patient complained of progressive weight gain and fat accumulation in the lower limbs due to which she has difficulty in walking. In subsequent visit, body composition analysis was ordered which revealed acquired partial lipodystrophy. Compensatory lipohypertrophy in lower body was noted. Change in treatment along with low calorie diet helped in controlling her blood sugar. This case emphasizes the importance of BCA with DXA in arriving at etiological diagnosis in patients with suspected lipodystrophies.