User:Greedy480/sandbox

SYMPTOMS (revised)

* Early onset-pericardial effusion

* heart arrhythmias

* vomiting

*coma

* death

* Rhabdomyolysis

* Hypoketotic Hypoglycemia

PROGNOSIS Screening catches occurrences of VLCAD most often in neonatal and infancy stages. Of 54 patients approximately half were neonatal presentation, one-fourth presenting later in the first year, and the second half was an even split between childhood and adulthood(1). Comorbidity of cardiomyopathy, arrhythmias(2) and rhabdomyolysis are extremely common in patients under 1 year old(1). While uncommon past this age, hypoglycemia often occurs (1-8 years). The loss of awareness or seizure can occur from hypoketotic hypoglycemia(2). This is often fatal if not caught in screening; prompt treatment shows high promise for improvement. Later-onset myopathic sufferers may only experience muscle-related, vague, sporadic symptoms, and may never be diagnosed(2). There is an extremely high genotype-phenotype correlation in a presentation. Mitigation of VLCAD symptoms can be achieved through dietary management(1).