Disorders of carnitine metabolism digital illustration

Disorders of carnitine metabolism Save


ICD-10 code: E71.4

Chapter: Endocrine, nutritional and metabolic diseases

Disorders of Carnitine Metabolism

Carnitine is a nutrient that plays a critical role in energy production by transporting fatty acids into the mitochondria where they are oxidized to produce ATP. Carnitine metabolism disorders refer to a group of rare genetic conditions that affect the body's ability to produce or utilize carnitine.

These disorders can manifest in different ways depending on the specific type of disorder, but some of the most common symptoms include muscle weakness, low energy levels, and developmental delays.

  1. Primary Carnitine Deficiency: This is a rare genetic disorder that causes a deficiency of the protein responsible for transporting carnitine into cells. Symptoms may include muscle weakness, low blood sugar levels, and an enlarged liver. Treatment typically involves carnitine supplements and dietary modifications.
  2. Carnitine Palmitoyltransferase Deficiency: This disorder affects the enzymes responsible for transporting fatty acids into the mitochondria. Symptoms may include muscle cramps, fatigue, and low blood sugar levels. Treatment typically involves dietary modifications and avoiding fasting or prolonged periods without eating.
  3. Carnitine Acylcarnitine Translocase Deficiency: This disorder affects the transport of fatty acids across the mitochondrial membrane. Symptoms may include muscle weakness, low blood sugar levels, and an enlarged liver. Treatment typically involves carnitine supplements and dietary modifications.

Diagnosis of carnitine metabolism disorders typically involves a combination of physical examination, blood tests, and genetic testing. Treatment options may include dietary modifications, carnitine supplements, and medications to manage specific symptoms.

Overall, disorders of carnitine metabolism are rare but can have a significant impact on quality of life. It is important for individuals with symptoms of these disorders to seek medical attention and receive an accurate diagnosis and appropriate treatment.