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Inborn errors of metabolism

Primary carnitine deficiency

An inherited problem with burning fat. The cells cannot take in carnitine and cannot turn fats into energy. The heart, muscles and blood sugar can be affected.

Not part of the panel of Türkiye's National Newborn Screening Programme (heel-prick test). Source

Orphanet has a guideline for emergency doctors for this disease (language: French, English). See on Orphanet

Prepare an emergency card

This page is translated from the Turkish original.

This disease is followed through the “Inborn errors of metabolism” group.

Understanding the disease

This section has not yet been reviewed by a physician. It summarises patient information from sources such as MedlinePlus, Orphanet and the NHS in plain language. The disease can differ from person to person; talk to your doctor about diagnosis and treatment.

What happens in this disease?

Carnitine is a natural substance that we get mostly from food. The cells use it to burn fats. In this disease, the gateway that carries carnitine into the cell does not work. Fats cannot be turned into energy and can build up in the liver, heart and muscles.

Which symptoms can occur?

Symptoms usually begin in infancy or early childhood. Severity varies greatly from person to person; some people have no symptoms at all.

  • Low blood sugar
  • Vomiting, irritability and tiredness
  • Enlarged liver
  • Weakening and enlargement of the heart muscle
  • Floppy muscles and muscle weakness
  • Severe impairment of brain function
  • Tiring easily in adults

How is it diagnosed?

In many countries, it can be found through newborn screening by a low carnitine level. The carnitine level in the blood is very low. The diagnosis is confirmed with a genetic test.

Treatment and care

The main treatment is replacing the missing carnitine by mouth every day. It is very effective if started before the organs are damaged. Eating often and avoiding long periods without food prevents drops in blood sugar. If the heart is affected, a heart doctor also follows the person. The doctor who follows the disease decides which treatment is suitable.

For the family: inheritance and genetic counselling

The disease is passed on through recessive inheritance. The mother and father are usually carriers who show no symptoms. For a couple who are both carriers, the chance of having an affected child is 1 in 4 in each pregnancy. When relatives marry, the chance that two carriers have children together is higher. Genetic counselling guides the family.

Source: MedlinePlus Genetics: Primary carnitine deficiency · NORD: Systemic Primary Carnitine Deficiency

Key facts

How is it inherited?
Autosomal recessive
When does it usually start?
Infancy, Newborn period
Gene(s) involved
SLC22A5

These facts are taken from Orphanet and MedlinePlus records (last checked: October 7, 2026). Frequency values are approximate ranges.

You are not alone: patient associations in Türkiye

Non-profit patient and family organizations in Türkiye working on this disease or disease group. Links are for information; Doktorclub is not affiliated with these organizations and does not endorse them.

For all rare diseases: Nadir Hastalıklar Federasyonu

Links checked on October 8, 2026.

Support and help

Doktorclub does not diagnose, recommend treatments or refer you to hospitals or doctors. These pages are meant to help you talk with your doctor.

News about Carnitine deficiency

Clinical trials (ClinicalTrials.gov)

A clinical trial is a regulated study that tests whether a new treatment is safe and whether it works, in patients who volunteer. Most trials look for a certain age, genetic change and health condition. Taking part is voluntary.

This list is not a treatment recommendation. Treatments tested in phase 1–3 trials are investigational (experimental): their efficacy and safety have not yet been proven and they are not approved treatments. Taking part depends on each trial’s criteria and a physician’s assessment; the first step is to talk to the doctor who manages your care.

ClinicalTrials.gov currently lists no active interventional studies for this disease. Last checked: October 7, 2026.

See all studies on ClinicalTrials.gov · Joining clinical trials

Inborn errors of metabolism: other news

Medical codes (for talking with your doctor and finding sources)

These codes identify the disease in international classifications and databases. They can help when you talk with your doctor or look for reliable sources.

Orphanet code: ORPHA:158

No separate ICD-11 code; WHO classifies this disease under: 5C52.00

Codes checked against WHO ICD-11 and Orphanet on October 7, 2026.

This page provides general information and does not replace diagnosis or treatment. Talk to your doctor about symptoms, diagnosis and treatment.

The information on these pages is for general information only and does not replace medical advice. Talk to your doctor about diagnosis and treatment decisions. In an emergency in Türkiye, call 112.

Every update is based on an open source and labeled with its level of evidence. No advertising and no drug brand names. Our scientific principles

This page was translated from Turkish by the Doktorclub editorial team.