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Even though there are concerns for the development of kidney disease in CPTII patients due to the high metabolic overload associated to rhabdomyolysis, end-stage chronic renal insufficiency requiring dialysis is only occasionally reported in these patients ( A Difficult Muscle Disease to Diagnose CPTII muscle deficiency is not easily recognized and patients may have to wait for decades just to get a proper diagnosis, generally based on referred symptoms (Sigauke et al., 2003)

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