Annals of Pediatric Endocrinology & Metabolism (Dec 2016)

Systemic primary carnitine deficiency with hypoglycemic encephalopathy

  • Jae Sung Jun,
  • Eun Joo Lee,
  • Hyung Doo Park,
  • Hae Sook Kim

DOI
https://doi.org/10.6065/apem.2016.21.4.226
Journal volume & issue
Vol. 21, no. 4
pp. 226 – 229

Abstract

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Acute hypoglycemia in children is not an uncommon disease that can be encountered in the Emergency Department. Most cases of childhood hypoglycemia are caused by ketotic hypoglycemia due to missed meals. Often, hypoketotic hypoglycemia can also occur, which suggests hyperinsulinemia or a defect in fatty acid oxidation. Carnitine is essential for long chain fatty acids transfer into mitochondria for oxidation. We present a case of systemic primary carnitine deficiency who presented with seizures due to hypoketotic hypoglycemia.

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