“…VLCAD catalyzes the first step of mitochondrial long-chain fatty acid β-oxidation. There are case reports of VLCAD deficiency presenting with rhabdomyolysis in the literature [ [13] , [14] , [15] ]. Rhabdomyolysis as a presenting finding is also seen in rare metabolic diseases such as CPT2 deficiency, primary carnitine deficiency, TANGO2 deficiency and LPIN1 deficiency [ [16] , [17] , [18] , [19] ].…”