{
  "id": "SCR-LIP-000219",
  "statement": "In a series of 67 probands, 14.9% had at least one affected first-degree relative (all affected relatives female), X-chromosome linkage analysis in the largest family excluded X-linked dominant inheritance (lod scores < -2) favoring autosomal dominant inheritance with sex limitation, and onset at puberty in 55% of probands plus near-exclusive female occurrence suggested estrogen-dependent expression.",
  "statement_pt": "Em uma série de 67 propósitas, 14,9% tinham pelo menos um familiar de primeiro grau afetado (todos os afetados do sexo feminino), a análise de linkage no cromossomo X na maior família excluiu herança dominante ligada ao X (lod scores < -2) favorecendo herança autossômica dominante com limitação ao sexo, e o início na puberdade em 55% das propósitas e a ocorrência quase exclusiva em mulheres sugeriram expressão dependente de estrogênio.",
  "claim_type": "clinical_association",
  "context": {
    "population": "—",
    "condition": "lipedema",
    "exposure": "—",
    "comparator": "—",
    "outcome": "—",
    "scope": "auto-ingested from Layer 1 surveillance"
  },
  "knowledge_state": "emerging",
  "evidence_confidence": "low",
  "evidence": [
    {
      "ref": "DOI:10.1002/ajmg.a.33313",
      "stance": "supporting",
      "study_design": "case_series",
      "n": null,
      "risk_of_bias": "unknown",
      "grade": "low",
      "year": 2010,
      "amato_authored": false,
      "note": "The article directly addresses both heredity (familial pedigrees, linkage analysis indicating autosomal dominant inheritance with sex limitation) and hormonal influence (puberty onset, near-exclusive female occurrence suggesting estrogen de",
      "title": "Lipedema: An inherited condition",
      "authors": "Child et al.",
      "journal": "American Journal of Medical Genetics Part A"
    }
  ],
  "relations": [],
  "gaps": "Auto-ingested single source; not yet human-reviewed.",
  "primary_amato_source": null,
  "curators": [],
  "provenance": {
    "auto": true,
    "engine": "anthropic/claude-opus-4.8",
    "question": "SQ-LIP-000012",
    "source": "library",
    "ingested": "2026-05-31"
  },
  "created": "2026-05-31",
  "updated": "2026-05-31",
  "history": [
    {
      "date": "2026-05-31",
      "event": "created",
      "detail": "auto-ingested for SQ-LIP-000012"
    }
  ],
  "license": "CC-BY-4.0",
  "answers_questions": [
    {
      "id": "SQ-LIP-000012",
      "role": "supporting",
      "question": "Do hormones and heredity influence the onset of lipedema?",
      "url": "https://scientificclaims.org/q/SQ-LIP-000012.html"
    }
  ],
  "url": "https://scientificclaims.org/c/SCR-LIP-000219.html"
}