Abstract
Very long-chain acyl-coenzyme A dehydrogenase deficiency (VLCADD) is a rare disorder of fatty acid metabolism characterized by hypoglycemia, liver failure, cardiomyopathy, and rhabdomyolysis. Herein, we report a case who had presented with exacerbation-induced rhabdomyolysis attacks since childhood and diagnosed with VLCADD. A 17-year-old boy presented with getting tired quickly, myalgia in lower limbs and dark brown urination following prolonged exercise. He was born after uneventful pregnancy and delivery, with consanguineous marriage of his parents.
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