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CPT-II Deficiency• Defect in regenerating acyl-CoA from acyl carnitine• Consequences– Toxic long chain acyl carnitines accumulate• <strong>Presentation</strong>– Classical muscular form• Adult presentation, myoglobinuria and muscle weakness onexercise• CK may be normal between attacks– Neonatal (severe/fatal) form – more hepatic• Coma, hypoketotic hypoglycaemia• Hepatomegaly, cardiomegaly, cardiac arrythmias

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