“…Prenatal diagnosis is possible either by mutation analysis or by determination of the enzyme activities in chorionic villi. 13,14 Patients with LCHAD deficiency are often characterized by the following clinical features: cardiomyopathy, hepatopathy, hypoketotic hyp0glycemia, retinopathy, hypotonia, and peripheral neuropathy. 8' 9, 1»-27 However, two patients with the combined defect of the trifunctional protein had a surprisingly mild clinical course.…”