raremaprare-disease reference indexOrphadata 2026-06-23 · HPO 2026-09-01
ORPHA:228305

Carnitine palmitoyl transferase II deficiency, severe infantile form

Synonyms: CPTII, severe infantile form · Carnitine palmitoyl transferase II deficiency, hepatocardiomuscular form · Carnitine palmitoyl transferase deficiency type 2, hepatocardiomuscular form · Carnitine palmitoyl transferase deficiency type 2, severe infantile form · CPT2, hepatocardiomuscular form · CPT2, severe infantile form · CPTII, hepatocardiomuscular form

Type
Clinical subtype
Group
Subtype of disorder
Inheritance
Autosomal recessive
Age of onset
Infancy, Neonatal
Status
active

The severe infantile form of carnitine palmitoyltransferase II (CPT II) deficiency, an inherited disorder that affects mitochondrial oxidation of long chain fatty acids (LCFA), is the early-onset form of the disease.

1

Names in Orphadata languages

12 of 12 languages
LangNameSynonyms
enCarnitine palmitoyl transferase II deficiency, severe infantile formCPTII, severe infantile form · Carnitine palmitoyl transferase II deficiency, hepatocardiomuscular form · Carnitine palmitoyl transferase deficiency type 2, hepatocardiomuscular form · Carnitine palmitoyl transferase deficiency type 2, severe infantile form · CPT2, hepatocardiomuscular form · CPT2, severe infantile form · CPTII, hepatocardiomuscular form
frDéficit en carnitine palmitoyltransférase II, forme infantile sévèreCPT2 forme hépatocardiomusculaire · CPT2 forme infantile sévère · CPTII forme hépatocardiomusculaire · CPTII forme infantile sévère · Déficit en carnitine palmitoyltransférase II, forme hépatocardiomusculaire · Déficit en carnitine palmitoyltransférase type 2, forme hépatocardiomusculaire · Déficit en carnitine palmitoyltransférase type 2, forme infantile sévère
deCarnitin-Palmitoyl-Transferase II-Mangel, schwere infantile FormCPT2, hepatokardiomuskuläre Form · CPT2, schwere infantile Form · CPTII, hepatokardiomuskuläre Form · CPTII, schwere infantile Form · Carnitin-Palmitoyl-Transferase II-Mangel, hepatokardiomuskuläre Form · Carnitin-Palmitoyl-Transferase-Mangel Typ 2, hepatokardiomuskuläre Form · Carnitin-Palmitoyl-Transferase-Mangel Typ 2, schwere infantile Form
esDeficiencia de carnitina palmitoiltransferasa II, forma grave infantilCPT2, forma grave infantil · CPT2, forma hepatocardiomuscular · CPTII, forma grave infantil · CPTII, forma hepatocardiomuscular · Deficiencia de carnitina palmitoiltransferasa II, forma hepatocardiomuscular · Deficiencia de carnitina palmitoiltransferasa tipo 2, forma grave infantil · Deficiencia de carnitina palmitoiltransferasa tipo 2, forma hepatocardiomuscular
itDeficit di carnitina-palmitoil transferasi II, forma infantile graveCPT2, forma epato-cardio-muscolare · CPT2, forma infantile grave · CPTII, forma epato-cardio-muscolare · CPTII, forma infantile grave · Deficit di carnitina-palmitoil transferasi II, forma epato-cardio-muscolare · Deficit di carnitina-palmitoil transferasi tipo 2, forma infantile grave · Deficit di carnitina-palmitoil transferasi tipo 2, tipo epato-cardio-muscolare
nlCarnitinepalmitoyltransferase II-deficiëntie, ernstige infantiele vormCPT2, ernstige infantiele vorm · CPT2, hepatocardiomusculaire vorm · CPTII, ernstige infantiele vorm · CPTII, hepatocardiomusculaire vorm · Carnitinepalmitoyltransferase II-deficiëntie, hepatocardiomusculaire vorm · Carnitinepalmitoyltransferasedeficiëntie type 2, ernstige infantiele vorm · Carnitinepalmitoyltransferasedeficiëntie type 2, hepatocardiomusculaire vorm
ptDeficiência da carnitina-palmitoil transferase 2, forma grave do latente
plNiedobór palmitylotransferazy karnityny II, ciężka postać dziecięcaCPT2, ciężka postać dziecięca · CPT2, postać wątrobowo-sercowo-mięśniowa · CPTII, ciężka postać dziecięca · CPTII, postać wątrobowo-sercowo-mięśniowa · Niedobór palmitylotransferazy karnityny II, postać wątrobowo-sercowo-mięśniowa · Niedobór palmitylotransferazy karnityny typu 2, ciężka postać dziecięca · Niedobór palmitylotransferazy karnityny typu 2, postać wątrobowo-sercowo-mięśniowa
csDeficit karnitinpalmitoyltransferázy II, těžká infantilní formaCPT2, hepatokardiomuskulární forma · CPTII, hepatokardiomuskulární forma · Deficit karnitin palmitoyl transferázy II, hepatokardiomuskulární forma · Deficit karnitin palmitoyl transferázy 2, hepatokardiomuskulární forma · CPT2, těžká infantilní forma · CPTII, těžká infantilní forma
ukДефіцит карнітинпальмітоілтрансферази ІІ, тяжка інфантильна формаДефіцит карнітинпальмітоїлтрансферази 2 типу, гепатокардіомязова форма · Дефіцит карнітинпальмітоїлтрансферази 2 типу, тяжка дитяча форма · Дефіцит карнітинпальмітоілтрансферази II, гепатокардіомязова форма · СРТ2, гепатокардіомязова форма · CPT2, важка дитяча форма · CPTII, гепатокардіомязова форма · CPTII, важка дитяча форма
zh重症婴儿型肉碱棕榈酰转移酶II缺乏症肝-心肌型CPTII
trKarnitin palmitoil transferaz II eksikliği, ağır infantil formKarnitin palmitoil transferaz II eksikliği, hepatokardiyomüsküler form · Karnitin palmitoil transferaz eksikliği tip 2, ağır infantil form · Karnitin palmitoil transferaz eksikliği tip 2, hepatokardiyomüsküler form · CPT2, ağır infantil formu · CPTII, ağır infantil formu · CPT2, hepatokardiyomüsküler form · CPTII, hepatokardiyomüsküler form

Definition in:

2

Cross-references

qualifier = Orphanet mapping relation
SourceCodeQualifierICD relationValidation
OMIM600649Evalidated
ICD-10E71.3NTBTattributedvalidated
ICD-115C52.00NTBTindexvalidated
MONDO0010914Evalidated
MeSHC563462Evalidated
UMLSC1833511Evalidated

E exact · NTBT this ORPHAcode is narrower than the target · BTNT broader than the target · ND not decided.

3

Classification

Preferential parent (Orphanet linearisation):

Parents in the classifications (1):

No children.

4

Genes

1 direct
GeneAssociationStatusHGNCEnsemblOMIMLocusNameSource of validation
CPT2Disease-causing germline mutation(s) inAssessedHGNC:2330ENSG000001571846006501p32.3carnitine palmitoyltransferase 2
5

Prevalence and incidence

2 records
TypeClassValueAreaQualificationValidationSource
Cases/families30 familiesWorldwideFamily(ies)Validated20301431[PMID]
Point prevalence<1 / 1 000 000—WorldwideClass onlyValidatedORPHANET_20301431[PMID]

Value is Orphadata's ValMoy: the mean estimate per 100 000 for prevalence and incidence, the number of cases or families for case reports.

6

HPO phenotypes

29 annotations · validated 2020-04-17
HPOTerm (as annotated by Orphanet)Diagnostic
Very frequent (99-80%)
HP:0012380Reduced carnitine O-palmitoyltransferase activity
Frequent (79-30%)
HP:0003449Cold-induced muscle cramps
HP:0008315Decreased plasma free carnitine
HP:0011936Decreased plasma total carnitine
HP:0003236Elevated circulating creatine kinase concentration
HP:0045045Elevated plasma acylcarnitine levels
HP:0002574Episodic abdominal pain
HP:0003546Exercise intolerance
HP:0003710Exercise-induced muscle cramps
HP:0003738Exercise-induced myalgia
HP:0002315Headache
HP:0011964Intermittent painful muscle spasms
HP:0001324Muscle weakness
HP:0003326Myalgia
HP:0002913Myoglobinuria
HP:0003198Myopathy
HP:0040320Red-brown urine
Occasional (29-5%)
HP:0011675Arrhythmia
HP:0001638Cardiomyopathy
HP:0001305Dandy-Walker malformation
HP:0002910Elevated circulating hepatic transaminase concentration
HP:0001399Hepatic failure
HP:0001397Hepatic steatosis
HP:0002240Hepatomegaly
HP:0006929Hypoglycemic encephalopathy
HP:0001985Hypoketotic hypoglycemia
HP:0003201Rhabdomyolysis
HP:0001250Seizure
HP:0001714Ventricular hypertrophy

Run the differential on the 1 obligate / very frequent terms

Annotation source: 18550408[PMID]_20301431[PMID]_28054946[PMID]

7

Sources for this card