Carnitine palmitoyltransferase II (CPT-II) deficiency is
the most common long-chain fatty acid oxidation defect,
resulting in rhabdomyolysis and acute renal failure (ARF). There are three forms of CPT-II deficiency: the
neonatal, infantile and adult form. We report an adult
form of CPT-II deficiency in a patient who presented with
attacks of exercise-induced rhabdomyolysis and ARF.