Carnitine palmitoyltransferase-II deficiency: case presentation and review of the literature

Carnitine palmitoyltransferase-II deficiency, an autosomal recessive disorder, is the most common cause of recurrent rhabdomyolysis in adults. Recognition and avoidance of triggers, such as heavy exercise and stress, is key in prevention of further episodes; however, even with preventative measures,...

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Main Authors: Mccormick Benjamin J., Chirila Razvan M.
Format: Article
Language:English
Published: Sciendo 2021-12-01
Series:Romanian Journal of Internal Medicine
Subjects:
Online Access:https://doi.org/10.2478/rjim-2021-0021
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author Mccormick Benjamin J.
Chirila Razvan M.
author_facet Mccormick Benjamin J.
Chirila Razvan M.
author_sort Mccormick Benjamin J.
collection DOAJ
description Carnitine palmitoyltransferase-II deficiency, an autosomal recessive disorder, is the most common cause of recurrent rhabdomyolysis in adults. Recognition and avoidance of triggers, such as heavy exercise and stress, is key in prevention of further episodes; however, even with preventative measures, many patients will continue to experience periodic symptoms, including rhabdomyolysis. Avoidance of renal failure, correction of electrolyte disturbances and halting further muscle breakdown are the goals of treatment. It is essential for clinicians to recognize the signs and symptoms of acute disease in CPT-II deficiency. We present a case of recurrent rhabdomyolysis requiring hospitalization in a patient with CPT-II deficiency and review the literature for common clinical manifestations, diagnostics, and treatment strategies.
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spelling doaj.art-54e9a29cbb3a4ba9b08e85c602d0b9b72022-12-22T00:44:39ZengSciendoRomanian Journal of Internal Medicine2501-062X2021-12-0159442042410.2478/rjim-2021-0021Carnitine palmitoyltransferase-II deficiency: case presentation and review of the literatureMccormick Benjamin J.0Chirila Razvan M.1Department of Internal Medicine, Mayo Clinic, 4500 San Pablo Rd S, Jacksonville, FL 32224Department of Internal Medicine, Mayo Clinic, 4500 San Pablo Rd S, Jacksonville, FL 32224Carnitine palmitoyltransferase-II deficiency, an autosomal recessive disorder, is the most common cause of recurrent rhabdomyolysis in adults. Recognition and avoidance of triggers, such as heavy exercise and stress, is key in prevention of further episodes; however, even with preventative measures, many patients will continue to experience periodic symptoms, including rhabdomyolysis. Avoidance of renal failure, correction of electrolyte disturbances and halting further muscle breakdown are the goals of treatment. It is essential for clinicians to recognize the signs and symptoms of acute disease in CPT-II deficiency. We present a case of recurrent rhabdomyolysis requiring hospitalization in a patient with CPT-II deficiency and review the literature for common clinical manifestations, diagnostics, and treatment strategies.https://doi.org/10.2478/rjim-2021-0021carnitine palmitoyltransferase-ii deficiencyrhabdomyolysismyopathy
spellingShingle Mccormick Benjamin J.
Chirila Razvan M.
Carnitine palmitoyltransferase-II deficiency: case presentation and review of the literature
Romanian Journal of Internal Medicine
carnitine palmitoyltransferase-ii deficiency
rhabdomyolysis
myopathy
title Carnitine palmitoyltransferase-II deficiency: case presentation and review of the literature
title_full Carnitine palmitoyltransferase-II deficiency: case presentation and review of the literature
title_fullStr Carnitine palmitoyltransferase-II deficiency: case presentation and review of the literature
title_full_unstemmed Carnitine palmitoyltransferase-II deficiency: case presentation and review of the literature
title_short Carnitine palmitoyltransferase-II deficiency: case presentation and review of the literature
title_sort carnitine palmitoyltransferase ii deficiency case presentation and review of the literature
topic carnitine palmitoyltransferase-ii deficiency
rhabdomyolysis
myopathy
url https://doi.org/10.2478/rjim-2021-0021
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AT chirilarazvanm carnitinepalmitoyltransferaseiideficiencycasepresentationandreviewoftheliterature