Summary
A patient with very long-chain acyl-CoA dehydrogenase (VLCAD) deficiency presented in the neonatal period with hypoketotic hypoglycaemia and at the age of 1 year with rhabdomyolysis and normal glucose after fasting. Rhabdomyolysis may occur in the absence of hypoglycaemia in young infants as well as in older patients.
References
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Vianey-Saban C, Divry P, Brivet M, et al (1998) Mitochondrial very long-chain acyl-CoA dehydrogenase deficiency: clinical characteristics and diagnostic considerations in 30 patients. Clin Chim Acta 269: 43–62.
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Engbers, H.M., Dorland, L., De Sain, M.G.M. et al. Rhabdomyolysis in early-onset very long-chain acyl-CoA dehydrogenase deficiency despite normal glucose after fasting. J Inherit Metab Dis 28, 1151–1152 (2005). https://doi.org/10.1007/s10545-005-0190-y
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DOI: https://doi.org/10.1007/s10545-005-0190-y