Four-Year Treatment of Systemic Carnitine Deficiency

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Abstract
To the Editor: Three years ago we described a boy with systemic carnitine deficiency in whom sustained carnitine supplementation resulted in dramatic objective and subjective clinical improvement (Dec. 11, 1980, issue.1) We have extended the follow-up to more than four years and now wish to report the current plasma carnitine and ketone levels.Before therapy the patient was a sickly boy in whom minor respiratory infections might precipitate a Reye's syndrome-like crisis and a full cardiac arrest. With therapy his vulnerability to these episodes abruptly ceased. He is now treated in an entirely normal manner, has twice undergone minor . . .