Pitfalls in the diagnosis of carnitine palmitoyltransferase 1 deficiency

Our data show, that dried blood is the preferred sample material for the diagnosis of CPT1A deficiency as it is superior to serum/plasma with respect to diagnostic sensitivity and reliability in quantification of the ratio [C0/(C16 + C18)]. CPT1A deficiency can be missed, if the analysis is only performed in serum or plasma, and confirmatory diagnostics in serum or plasma after screening can be false negative.

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Publication Details

Journal
Journal of Pediatric Endocrinology and Metabolism
Published
2025-09-29
DOI
https://doi.org/10.1515/jpem-2025-0382
Primary Topic
Metabolism and Genetic Disorders
Type
article
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article

Pitfalls in the diagnosis of carnitine palmitoyltransferase 1 deficiency

Dorothea Haas, Ute Spiekerkoetter, Sarah C. Grünert, Urs Berger et al.
Journal of Pediatric Endocrinology and Metabolism
Metabolism and Genetic Disorders
article

Pitfalls in the diagnosis of carnitine palmitoyltransferase 1 deficiency

Dorothea Haas, Ute Spiekerkoetter, Sarah C. Grünert, Urs Berger, Eva Thimm, Anke Schumann, Kathrin V. Schwarz, Friederike Hörster
article en

Abstract

Our data show, that dried blood is the preferred sample material for the diagnosis of CPT1A deficiency as it is superior to serum/plasma with respect to diagnostic sensitivity and reliability in quantification of the ratio [C0/(C16 + C18)]. CPT1A deficiency can be missed, if the analysis is only performed in serum or plasma, and confirmatory diagnostics in serum or plasma after screening can be false negative.

Journal of Pediatric Endocrinology and MetabolismVol. 38(12)
Heidelberg University (DE), University Medical Center Freiburg (DE), University Hospital Heidelberg (DE), Heinrich Heine University Düsseldorf (DE), Heidelberg University (US)
Openalex Percentile: Top 70%
Metabolism and Genetic Disorders
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Pitfalls in the diagnosis of carnitine palmitoyltransferase 1 deficiency — Dorothea Haas, Ute Spiekerkoetter, et al. · Journal of Pediatric Endocrinology and Metabolism (2025) | TGRS Research Map | TGRS