Primary carnitine deficiency (PCD)

Evidence-based neurology checklist on primary carnitine deficiency (pcd): Genetics This is caused by mutations in the SLC22A5 gene The gene encodes organic cation transporter type 2 (OCTN2) The transmission is autosomal recessive Systemic features Cardiac features Neurological features Baseline…

Genetics

  • This is caused by mutations in the SLC22A5 gene
  • The gene encodes organic cation transporter type 2 (OCTN2)
  • The transmission is autosomal recessive

Systemic features

Cardiac features

Neurological features

Baseline investigations

Differentials: causes of secondary carnitine deficiency

Treatment

References

  1. Magoulas PL, El-Hattab AW. Systemic primary carnitine deficiency: an overview of clinical manifestations, diagnosis, and management. Orphanet J Rare Dis 2012; 7:68.
  2. Liang WC, Nishino I. Lipid storage myopathy. Curr Neurol Neurosci Rep 2011; 11: 97-103.
  3. Crefcoeur LL, Visser G, Ferdinandusse S, Wijburg FA, Langeveld M, Sjouke B. Clinical characteristics of primary carnitine deficiency: a structured review using a case-by-case approach. J Inherit Metab Dis 2022; 45:386-405. 
  4. Khries M, Lim A, Mitra D, et al. Broadening the spectrum of SLC22A5 phenotype: primary carnitine deficiency presenting with focal myoclonus. Child Neurol Open 2023; 10:2329048X231184183. 
  5. Uppin MS, Sundaram C, Meena AK, et al. Lipid storage myopathies with unusual clinical manifestations. Neurol India 2008; 56:391-393.
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