Recurrent rhabdomyolysis caused by carnitine palmitoyltransferase II deficiency, common but under-recognised: Lessons to be learnt
- PMID: 29744303
- PMCID: PMC5938603
- DOI: 10.1016/j.ymgmr.2018.02.008
Recurrent rhabdomyolysis caused by carnitine palmitoyltransferase II deficiency, common but under-recognised: Lessons to be learnt
Abstract
We discuss two adult siblings who presented with symptoms of myalgia and rhabdomyolysis following exercise with myoglobinuria; genetic testing confirmed carnitine palmitoyltransferase II deficiency and resulted in institution of appropriate crisis management and dietary advice. We explore the phenotypic variability of this commonest fatty oxidation defect that remains under-diagnosed in the adult population and provide clues for early recognition and diagnosis.
Keywords: Autosomal recessive; CPT II deficiency; Dietary advice; Genetic counselling; Myoglobinuria; Myopathy; Rhabdomyolysis.
References
-
- Anichini A., Fanin M., Vianey-Saban C., Cassandrini D., Fiorillo C., Bruno C., Angelini C. Genotype-phenotype correlations in a large series of patients with muscle type CPT II deficiency. Neurol. Res. 2011;33(1):24–32. - PubMed
-
- Olpin S.E., Afifi A., Clark S., Manning N.J., Bonham J.R., Dalton A., Leonard J.V., Land J.M., Andresen B.S., Morris A.A., Muntoni F., Turnbull D., Pourfarzam M., Rahman S., Pollitt R.J. Mutation and biochemical analysis in carnitine palmitoyltransferase type II (CPT II) deficiency. J. Inherit. Metab. Dis. 2003;26(6):543–557. - PubMed
-
- Olpin S.E., Murphy E., Kirk R.J., Taylor R.W., Quinlivan R. The investigation and management of metabolic myopathies. J. Clin. Pathol. 2015;68(6):410–417. - PubMed
-
- Taroni F., Verderio E., Dworzak F., Willems P.J., Cavadini P., DiDonato S. Identification of a common mutation in the carnitine palmitoyltransferase II gene in familial recurrent myoglobinuria patients. Nat. Genet. 1993;4(3):314–320. - PubMed
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