Fenofibrate Therapy in Carnitine Palmitoyl Transferase Type 2 Deficiency

Bezafibrate therapy has been shown to improve beta-oxidation of fatty acids and to reduce episodes of rhabdomyolysis in patients with carnitine palmitoyltransferase type-2 (CPT2) deficiency. We report the efficacy of fenofibrate in a patient with CPT2 deficiency, in whom beta-oxidation was improved...

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Main Authors: I. Hamilton-Craig, M. Yudi, L. Johnson, R. Jayasinghe
Format: Article
Language:English
Published: Wiley 2012-01-01
Series:Case Reports in Medicine
Online Access:http://dx.doi.org/10.1155/2012/163173
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author I. Hamilton-Craig
M. Yudi
L. Johnson
R. Jayasinghe
author_facet I. Hamilton-Craig
M. Yudi
L. Johnson
R. Jayasinghe
author_sort I. Hamilton-Craig
collection DOAJ
description Bezafibrate therapy has been shown to improve beta-oxidation of fatty acids and to reduce episodes of rhabdomyolysis in patients with carnitine palmitoyltransferase type-2 (CPT2) deficiency. We report the efficacy of fenofibrate in a patient with CPT2 deficiency, in whom beta-oxidation was improved but an episode of rhabdomyolysis nevertheless occurred. This suggests additional methods to avoid rhabdomyolysis in patients with CPT2 deficiency should accompany fibrate therapy, including avoidance of muscular overexertion, dehydration, and heat exposure.
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institution Kabale University
issn 1687-9627
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publishDate 2012-01-01
publisher Wiley
record_format Article
series Case Reports in Medicine
spelling doaj-art-07b745c8eb3b493491d055de37d620b12025-02-03T01:12:11ZengWileyCase Reports in Medicine1687-96271687-96352012-01-01201210.1155/2012/163173163173Fenofibrate Therapy in Carnitine Palmitoyl Transferase Type 2 DeficiencyI. Hamilton-Craig0M. Yudi1L. Johnson2R. Jayasinghe3Griffith University School of Medicine and Gold Coast University Hospital, Southport, Gold Coast, QLD 4215, AustraliaRoyal Australasian College of Physicians and Royal Melbourne Hospital, Parkville, Melbourne, VIC 3050, AustraliaPathology Queensland, Royal Brisbane and Women’s Hospital, Brisbane, QLD 4029, AustraliaDepartment of Cardiology, Gold Coast University Hospital, Griffith University, Southport, Gold Coast, QLD 4215, AustraliaBezafibrate therapy has been shown to improve beta-oxidation of fatty acids and to reduce episodes of rhabdomyolysis in patients with carnitine palmitoyltransferase type-2 (CPT2) deficiency. We report the efficacy of fenofibrate in a patient with CPT2 deficiency, in whom beta-oxidation was improved but an episode of rhabdomyolysis nevertheless occurred. This suggests additional methods to avoid rhabdomyolysis in patients with CPT2 deficiency should accompany fibrate therapy, including avoidance of muscular overexertion, dehydration, and heat exposure.http://dx.doi.org/10.1155/2012/163173
spellingShingle I. Hamilton-Craig
M. Yudi
L. Johnson
R. Jayasinghe
Fenofibrate Therapy in Carnitine Palmitoyl Transferase Type 2 Deficiency
Case Reports in Medicine
title Fenofibrate Therapy in Carnitine Palmitoyl Transferase Type 2 Deficiency
title_full Fenofibrate Therapy in Carnitine Palmitoyl Transferase Type 2 Deficiency
title_fullStr Fenofibrate Therapy in Carnitine Palmitoyl Transferase Type 2 Deficiency
title_full_unstemmed Fenofibrate Therapy in Carnitine Palmitoyl Transferase Type 2 Deficiency
title_short Fenofibrate Therapy in Carnitine Palmitoyl Transferase Type 2 Deficiency
title_sort fenofibrate therapy in carnitine palmitoyl transferase type 2 deficiency
url http://dx.doi.org/10.1155/2012/163173
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AT ljohnson fenofibratetherapyincarnitinepalmitoyltransferasetype2deficiency
AT rjayasinghe fenofibratetherapyincarnitinepalmitoyltransferasetype2deficiency