Problem in this case :
A teenage boy was brought to a hospital as he complaints that he always get too tired when asked to participate in the any of the school activities. The doctor found muscle weakness in the boy’s arms and legs. From the muscles biopsy, the lab pathologist found greatly elevated amount of triglycerides esterified with primary long chain fatty acid. They also found significant presence of lipid vacuoles in the muscle biopsy. What causes these symptoms?
This is the progression and the discussion about the carnitine deficiency in laboratory.