Case Report
Very-Long-Chain Acyl-Co-Enzyme A Dehydrogenase Deficiency Presenting as Rhabdomyolysis: First Case Report from Sri Lanka
Table 1
Biochemical and haematological parameters of the patient.
| | Laboratory parameter | Value | Reference range |
| | Biochemistry | | Creatine phosphokinase (U/L) | 50,454 | <195 | | Lactate dehydrogenase (U/L) | 2209 | 230–460 | | Aspartate aminotransferase (U/L) | 1557 | <38 | | Alanine aminotransferase (U/L) | 254 | <40 | | Serum creatinine (mg/dL) | 0.75 | 0.9–1.3 | | Serum potassium (mmol/L) | 4.3 | 3.5–5.1 | | Serum sodium (mmol/L) | 138 | 135–148 | | Serum calcium (mmol/L) | 2.3 | 2.2–2.7 | | Serum phosphate (mmol/L) | 1.3 | 0.8–1.5 | | C-reactive protein (mg/L) | 5 | <6 | | Serum thyroid stimulating hormone (mIU/L) | 1.58 | 0.4–4 | | Fasting blood sugar (mg/dL) | 94 | 100–125 |
| | Haematology | | Total white cell count (cells/μL) | 9690 | 4000–11,000 | | Neutrophil count (cells/μL) | 4400 | 1500–8,000 | | Lymphocyte count (cells/μL) | 3860 | 1000–4,800 | | Haemoglobin level (g/dL) | 14.2 | 13.5–17.5 | | Platelet count (platelets/μL) | 242,000 | 150,000–450,000 | | Erythrocyte sedimentation rate (mm/1st hour) | 5 | — |
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