Carnitine palmitoyl transferase II deficiency, neonatal form
- Synonyms
- CARNITINE PALMITOYLTRANSFERASE II DEFICIENCY, ANTENATAL; CARNITINE PALMITOYLTRANSFERASE II DEFICIENCY, NEONATAL; CPT II DEFICIENCY, LETHAL NEONATAL; CPT2 DEFICIENCY, LETHAL NEONATAL; Carnitine palmitoyltransferase II deficiency, lethal neonatal
- Modes of inheritance
- Autosomal recessive inheritance (Orphanet)
Summary
Excerpted from the GeneReview:- Full text of GeneReview (by section):
- Summary
- Diagnosis
- Clinical Characteristics
- Genetically Related (Allelic) Disorders
- Differential Diagnosis
- Management
- Genetic Counseling
- Resources
- Molecular Genetics
- Chapter Notes
- References
- Authors:
- Thomas Wieser
- view full author information
Available tests
Check Related conditions for additional relevant tests.
Clinical tests (99 available)
Biochemical Genetics Tests
Clinical features
Help- Abnormality of head or neck
- Bulbous nose
Bulbous nose
- MedGen UID: 66013
- Concept ID: C0240543
- Finding: Finding
Abnormality of head or neck
- High forehead
High forehead
- MedGen UID: 65991
- Concept ID: C0239676
- Finding: Finding
Abnormality of head or neck
- High palate
High palate
- MedGen UID: 66814
- Concept ID: C0240635
- Finding: Congenital Abnormality
Abnormality of head or neck
- Narrow palate
Narrow palate
- MedGen UID: 278045
- Concept ID: C1398312
- Finding: Finding
Abnormality of head or neck
- Nasal congestion
Nasal congestion
- MedGen UID: 6523
- Concept ID: C0027424
- Finding: Sign or Symptom
Abnormality of head or neck
- Prominent forehead
Prominent forehead
- MedGen UID: 373291
- Concept ID: C1837260
- Finding: Finding
Abnormality of head or neck
- Sloping forehead
Sloping forehead
- MedGen UID: 346640
- Concept ID: C1857679
- Finding: Finding
Abnormality of head or neck
- Bulbous nose
- Abnormality of limbs
- Abnormal foot morphology
Abnormal foot morphology
- MedGen UID: 1762829
- Concept ID: C5399834
- Finding: Anatomical Abnormality
Abnormality of limbs
- Knee flexion contracture
Knee flexion contracture
- MedGen UID: 98042
- Concept ID: C0409355
- Finding: Finding
Abnormality of limbs
- Long fingers
Long fingers
- MedGen UID: 346836
- Concept ID: C1858091
- Finding: Finding
Abnormality of limbs
- Long toe
Long toe
- MedGen UID: 461963
- Concept ID: C3150613
- Finding: Finding
Abnormality of limbs
- Tapered finger
Tapered finger
- MedGen UID: 98098
- Concept ID: C0426886
- Finding: Finding
Abnormality of limbs
- Tapered toe
Tapered toe
- MedGen UID: 866813
- Concept ID: C4021167
- Finding: Anatomical Abnormality
Abnormality of limbs
- Abnormal foot morphology
- Abnormality of metabolism/homeostasis
- Decreased plasma free carnitine
Decreased plasma free carnitine
- MedGen UID: 863446
- Concept ID: C4015009
- Finding: Finding
Abnormality of metabolism/homeostasis
- Decreased plasma total carnitine
Decreased plasma total carnitine
- MedGen UID: 868714
- Concept ID: C4023117
- Finding: Finding
Abnormality of metabolism/homeostasis
- Decreased serum bicarbonate concentration
Decreased serum bicarbonate concentration
- MedGen UID: 1670967
- Concept ID: C4732833
- Finding: Finding
Abnormality of metabolism/homeostasis
- Elevated circulating alanine aminotransferase concentration
Elevated circulating alanine aminotransferase concentration
- MedGen UID: 57740
- Concept ID: C0151905
- Finding: Finding
Abnormality of metabolism/homeostasis
- Elevated circulating aspartate aminotransferase concentration
Elevated circulating aspartate aminotransferase concentration
- MedGen UID: 57497
- Concept ID: C0151904
- Finding: Finding
Abnormality of metabolism/homeostasis
- Elevated circulating creatine kinase concentration
Elevated circulating creatine kinase concentration
- MedGen UID: 69128
- Concept ID: C0241005
- Finding: Finding
Abnormality of metabolism/homeostasis
- Elevated circulating creatinine concentration
Elevated circulating creatinine concentration
- MedGen UID: 148579
- Concept ID: C0700225
- Finding: Finding
Abnormality of metabolism/homeostasis
- Elevated circulating hepatic transaminase concentration
Elevated circulating hepatic transaminase concentration
- MedGen UID: 338525
- Concept ID: C1848701
- Finding: Finding
Abnormality of metabolism/homeostasis
- Elevated circulating long chain fatty acid concentration
Elevated circulating long chain fatty acid concentration
- MedGen UID: 395207
- Concept ID: C1859241
- Finding: Finding
Abnormality of metabolism/homeostasis
- Fever
Fever
- MedGen UID: 5169
- Concept ID: C0015967
- Finding: Sign or Symptom
Abnormality of metabolism/homeostasis
- Hyperammonemia
Hyperammonemia
- MedGen UID: 1802066
- Concept ID: C5574662
- Finding: Laboratory or Test Result
Abnormality of metabolism/homeostasis
- Hypoglycemia
Hypoglycemia
- MedGen UID: 6979
- Concept ID: C0020615
- Finding: Disease or Syndrome
Abnormality of metabolism/homeostasis
- Increased muscle lipid content
Increased muscle lipid content
- MedGen UID: 373292
- Concept ID: C1837262
- Finding: Finding
Abnormality of metabolism/homeostasis
- Increased total bilirubin
Increased total bilirubin
- MedGen UID: 152856
- Concept ID: C0741494
- Finding: Finding
Abnormality of metabolism/homeostasis
- Nonketotic hypoglycemia
Nonketotic hypoglycemia
- MedGen UID: 400730
- Concept ID: C1865292
- Finding: Finding
Abnormality of metabolism/homeostasis
- Decreased plasma free carnitine
- Abnormality of prenatal development or birth
- Oligohydramnios
Oligohydramnios
- MedGen UID: 86974
- Concept ID: C0079924
- Finding: Pathologic Function
Abnormality of prenatal development or birth
- Oligohydramnios
- Abnormality of the breast
- Wide intermamillary distance
Wide intermamillary distance
- MedGen UID: 473489
- Concept ID: C1827524
- Finding: Finding
Abnormality of the breast
- Wide intermamillary distance
- Abnormality of the cardiovascular system
- Antenatal intracerebral hemorrhage
Antenatal intracerebral hemorrhage
- MedGen UID: 332401
- Concept ID: C1837247
- Finding: Pathologic Function
Abnormality of the cardiovascular system
- Cardiac arrhythmia
Cardiac arrhythmia
- MedGen UID: 2039
- Concept ID: C0003811
- Finding: Finding
Abnormality of the cardiovascular system
- Cardiomegaly
Cardiomegaly
- MedGen UID: 5459
- Concept ID: C0018800
- Finding: Finding
Abnormality of the cardiovascular system
- Primary dilated cardiomyopathy
Primary dilated cardiomyopathy
- MedGen UID: 2880
- Concept ID: C0007193
- Finding: Disease or Syndrome
Abnormality of the cardiovascular system
- Antenatal intracerebral hemorrhage
- Abnormality of the digestive system
- Diarrhea
Diarrhea
- MedGen UID: 8360
- Concept ID: C0011991
- Finding: Sign or Symptom
Abnormality of the digestive system
- Feeding difficulties in infancy
Feeding difficulties in infancy
- MedGen UID: 436211
- Concept ID: C2674608
- Finding: Finding
Abnormality of the digestive system
- Hepatic calcification
Hepatic calcification
- MedGen UID: 490154
- Concept ID: C1696466
- Finding: Disease or Syndrome
Abnormality of the digestive system
- Hepatomegaly
Hepatomegaly
- MedGen UID: 42428
- Concept ID: C0019209
- Finding: Finding
Abnormality of the digestive system
- Lipid accumulation in hepatocytes
Lipid accumulation in hepatocytes
- MedGen UID: 324718
- Concept ID: C1837257
- Finding: Finding
Abnormality of the digestive system
- Macrovesicular hepatic steatosis
Macrovesicular hepatic steatosis
- MedGen UID: 373290
- Concept ID: C1837256
- Finding: Finding
Abnormality of the digestive system
- Vomiting
Vomiting
- MedGen UID: 12124
- Concept ID: C0042963
- Finding: Sign or Symptom
Abnormality of the digestive system
- Diarrhea
- Abnormality of the eye
- Cataract
Cataract
- MedGen UID: 39462
- Concept ID: C0086543
- Finding: Disease or Syndrome
Abnormality of the eye
- Cataract
- Abnormality of the genitourinary system
- Enlarged kidney
Enlarged kidney
- MedGen UID: 108156
- Concept ID: C0542518
- Finding: Finding
Abnormality of the genitourinary system
- Hydronephrosis
Hydronephrosis
- MedGen UID: 42531
- Concept ID: C0020295
- Finding: Disease or Syndrome
Abnormality of the genitourinary system
- Long-chain dicarboxylic aciduria
Long-chain dicarboxylic aciduria
- MedGen UID: 324757
- Concept ID: C1837273
- Finding: Disease or Syndrome
Abnormality of the genitourinary system
- Polycystic kidney disease
Polycystic kidney disease
- MedGen UID: 9639
- Concept ID: C0022680
- Finding: Disease or Syndrome
Abnormality of the genitourinary system
- Renal dysplasia
Renal dysplasia
- MedGen UID: 760690
- Concept ID: C3536714
- Finding: Congenital Abnormality
Abnormality of the genitourinary system
- Renal insufficiency
Renal insufficiency
- MedGen UID: 332529
- Concept ID: C1565489
- Finding: Disease or Syndrome
Abnormality of the genitourinary system
- Ureteral duplication
Ureteral duplication
- MedGen UID: 66380
- Concept ID: C0221365
- Finding: Congenital Abnormality
Abnormality of the genitourinary system
- Enlarged kidney
- Abnormality of the integument
- Hypoplastic toenails
Hypoplastic toenails
- MedGen UID: 332409
- Concept ID: C1837279
- Finding: Finding
Abnormality of the integument
- Hypoplastic toenails
- Abnormality of the musculoskeletal system
- Elbow flexion contracture
Elbow flexion contracture
- MedGen UID: 98367
- Concept ID: C0409338
- Finding: Acquired Abnormality
Abnormality of the musculoskeletal system
- Hypotonia
Hypotonia
- MedGen UID: 10133
- Concept ID: C0026827
- Finding: Finding
Abnormality of the musculoskeletal system
- Intracerebral periventricular calcifications
Intracerebral periventricular calcifications
- MedGen UID: 373287
- Concept ID: C1837246
- Finding: Finding
Abnormality of the musculoskeletal system
- Microcephaly
Microcephaly
- MedGen UID: 1644158
- Concept ID: C4551563
- Finding: Finding
Abnormality of the musculoskeletal system
- Neonatal hypotonia
Neonatal hypotonia
- MedGen UID: 412209
- Concept ID: C2267233
- Finding: Disease or Syndrome
Abnormality of the musculoskeletal system
- Elbow flexion contracture
- Abnormality of the nervous system
- Abnormality of neuronal migration
Abnormality of neuronal migration
- MedGen UID: 324748
- Concept ID: C1837249
- Finding: Congenital Abnormality
Abnormality of the nervous system
- Basal ganglia cysts
Basal ganglia cysts
- MedGen UID: 332402
- Concept ID: C1837251
- Finding: Disease or Syndrome
Abnormality of the nervous system
- Corpus callosum, agenesis of
Corpus callosum, agenesis of
- MedGen UID: 104498
- Concept ID: C0175754
- Finding: Congenital Abnormality
Abnormality of the nervous system
- Lethargy
Lethargy
- MedGen UID: 7310
- Concept ID: C0023380
- Finding: Sign or Symptom
Abnormality of the nervous system
- Polymicrogyria
Polymicrogyria
- MedGen UID: 78605
- Concept ID: C0266464
- Finding: Congenital Abnormality
Abnormality of the nervous system
- Seizure
Seizure
- MedGen UID: 20693
- Concept ID: C0036572
- Finding: Sign or Symptom
Abnormality of the nervous system
- Ventriculomegaly
Ventriculomegaly
- MedGen UID: 480553
- Concept ID: C3278923
- Finding: Finding
Abnormality of the nervous system
- Abnormality of neuronal migration
- Abnormality of the respiratory system
- Apnea
Apnea
- MedGen UID: 2009
- Concept ID: C0003578
- Finding: Sign or Symptom
Abnormality of the respiratory system
- Neonatal respiratory distress
Neonatal respiratory distress
- MedGen UID: 924182
- Concept ID: C4281993
- Finding: Finding
Abnormality of the respiratory system
- Respiratory failure
Respiratory failure
- MedGen UID: 257837
- Concept ID: C1145670
- Finding: Disease or Syndrome
Abnormality of the respiratory system
- Respiratory insufficiency
Respiratory insufficiency
- MedGen UID: 11197
- Concept ID: C0035229
- Finding: Pathologic Function
Abnormality of the respiratory system
- Apnea
- Ear malformation
- Low-set ears
Low-set ears
- MedGen UID: 65980
- Concept ID: C0239234
- Finding: Congenital Abnormality
Ear malformation
- Overfolded helix
Overfolded helix
- MedGen UID: 325239
- Concept ID: C1837731
- Finding: Finding
Ear malformation
- Posteriorly rotated ears
Posteriorly rotated ears
- MedGen UID: 96566
- Concept ID: C0431478
- Finding: Congenital Abnormality
Ear malformation
- Low-set ears
- ACMG ACT, 2022American College of Medical Genetics and Genomics, Newborn Screening ACT Sheet, Increased C16 and/or C18:1 Acylcarnitine, Carnitine Palmitoyltransferase II (CPT II) Deficiency and Carnitine Acylcarnitine Translocase (CACT) Deficiency, 2022
- ACMG Algorithm, 2022American College of Medical Genetics and Genomics, Algorithm, C16 +/- C18:1 Elevated: CPT II or CACT, 2022
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