Systemic Carnitine Deficiency

Below you will find more information about Systemic Carnitine Deficiency from Medigest. If you believe that you are suffering from any of the symptoms of Systemic Carnitine Deficiency it is important that you obtain an accurate diagnosis from a medical professional to ensure that you obtain the correct medication or treatment for your condition. There are medical conditions that carry similar symptoms associated with Systemic Carnitine Deficiency and therefore the information provided by Medigest is offered as a guideline only and should never be used in preference to seeking professional medical advice. The information relating to Systemic Carnitine Deficiency comes from a third party source and Medigest will not be held liable for any inaccuracies relating to the information shown.

Definition

Carnitine deficiency is a metabolic state in which carnitine concentrations in plasma and tissues are less than the levels needed for normal function of the organism. Biologic effects of low carnitine levels may not be clinically significant until they reach less than 10-20% of the norm.

Diagnosis

Skin biopsy can be done to confirm diagnosis of primary carnitine deficiency by demonstrating reduced carnitine transport in fibroblasts that express the transporter. Fibroblasts may be utilized for fatty acid oxidation studies or enzyme assay.

Treatment

In acute situations, if the patient presents with hypoketotic hypoglycemic encephalopathy, insure stabilization with 10% dextrose in water at rates of 10 mg/kg/min IV initially; adjust infusion rate depending on blood glucose concentrations.

Symptoms and Signs

One classic initial presentation of primary carnitine deficiency is hypoketotic hypoglycemic encephalopathy, accompanied by hepatomegaly, hyperammonemia, and elevated liver transaminases. Cardiomyopathy is the other classic presentation (affecting older children); onset may arise with rapidly progressive heart failure. Cardiomyopathy can also be seen in older patients with a metabolic presentation, even if they are asymptomatic from a cardiac standpoint

Causes

Primary carnitine deficiency is caused by a deficiency in the plasma membrane carnitine transporter, with urinary carnitine wasting resulting from systemic carnitine depletion.

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