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Squarcia U, Agnetti A, Caffarra A, et al. Cardiomiopatia dilatativa da deficit primitivo di carnitina. [Dilated cardiomyopathy due to primary carnitine deficiency]. Pediatr Med Chir. 1986;8(2):157-61
Squarcia, U., Agnetti, A., Caffarra, A., Cavalli, C., & Marbini, A. (1986). Cardiomiopatia dilatativa da deficit primitivo di carnitina. [Dilated cardiomyopathy due to primary carnitine deficiency]. La Pediatria medica e chirurgica : Medical and surgical pediatrics, 8(2), 157-61.
Squarcia, U, et al. "Cardiomiopatia dilatativa da deficit primitivo di carnitina." [Dilated cardiomyopathy due to primary carnitine deficiency]. La Pediatria medica e chirurgica : Medical and surgical pediatrics vol. 8,2 (1986): 157-61.
Squarcia U, Agnetti A, Caffarra A, Cavalli C, Marbini A. Cardiomiopatia dilatativa da deficit primitivo di carnitina. [Dilated cardiomyopathy due to primary carnitine deficiency]. Pediatr Med Chir. 1986 Mar-Apr;8(2):157-61. Italian. PMID: 3786176.
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Pediatr Med Chir. 1986 Mar-Apr;8(2):157-61.

[Dilated cardiomyopathy due to primary carnitine deficiency].

La Pediatria medica e chirurgica : Medical and surgical pediatrics

[Article in Italian]
U Squarcia, A Agnetti, A Caffarra, C Cavalli, A Marbini

PMID: 3786176

Abstract

A case of a 3 and a half years old girl with severe congestive heart failure, and typical picture of dilated cardiomyopathy is presented. The serum level of carnitine (17.2 micromoles/l, versus 44.1 +/- 12.2 micromoles/l, normal value for age) and the histologic and biochemical evaluation of quadriceps muscle tissue confirmed the diagnosis of primary deficit of carnitine. L-carnitine (2 gr. three times a day p.o.) was added to anti-congestive therapy. After 8 weeks of therapy, the general and cardiocirculatory conditions are much improved. The physiopathology of dilated cardiomyopathy due to deficit of carnitine are discussed. An early diagnosis, and an early substitutive therapy with L-carnitine dramatically improve the outcome of the disease.

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