Mutations in several genes have been found in patients with inherited lipodystrophies, including mutations in LMNA, PPARG, AKT2 and ZMPSTE24 in partial lipodystrophy [18], and mutations in AGPAT2, BSCL2, CAV1 and PTRF in congenital total lipodystrophy [19–21]. The gene discussed is ZMPSTE24; the disease is lipodystrophy.