Riboflavin-responsive lipid-storage myopathy and glutaric aciduria type II of early adult onset

M. de Visser, H. R. Scholte, R. B. Schutgens, P. A. Bolhuis, I. E. Luyt-Houwen, M. H. Vaandrager-Verduin, H. A. Veder, P. L. Oey

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Abstract

A 17-year-old girl with progressive lipid-storage myopathy for 2 years had low muscle carnitine levels. There was no therapeutic response to prednisone and DL-carnitine-HCl. Chemical findings indicated glutaric aciduria type II. Riboflavin therapy and a fat-restricted, carbohydrate-enriched diet resulted in dramatic improvement. Low carnitine concentrations in plasma and muscle were observed in three asymptomatic sisters who had normal urinary excretion patterns. There was impaired mitochondrial beta-oxidation in cultured skin fibroblasts from the index patient and all three siblings
Original languageEnglish
Pages (from-to)367-372
JournalNeurology
Volume36
Issue number3
DOIs
Publication statusPublished - 1986

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