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5.2 Disorders of mitochondrial long-chain fatty acid oxidation 5.2.1 Very long-chain acyl-CoA dehydrogenase (VLCAD) deficiency Clinical presentation Patients diagnosed with VLCAD deficiency (OMIM 201475) can suffer from hepatic, cardiac and muscular symptoms that can appear in infancy, but also later during adolescence or adulthood
It is cytologically characterized by a predominant composition of heavily pigmented slender fusiform melanocytes ( Fig
This is due to its potential impact on fat metabolism and overall body composition
Some providers may discuss continuation on a case-by-case basis when weight management is medically urgent and safer alternatives are unavailable
S1, where representative plots of flow cytometry are shown)
