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Living with Renal carnitine transport defect

A genetic condition, also called primary carnitine deficiency, in which the body can't use certain fats for energy, especially during fasting.

Understanding Renal carnitine transport defect

Renal carnitine transport defect, also called primary carnitine deficiency, is a condition that prevents the body from using certain fats for energy.

Carnitine is a natural substance that cells use to process fats and make energy. Signs usually appear in infancy or early childhood, and severity varies. Some people have no symptoms. Problems can be triggered by fasting or by illnesses such as viral infections. It is sometimes mistaken for Reye syndrome.

Signs & symptoms

Symptoms vary from person to person. GARD lists these among the most common:

  • Brain dysfunction (encephalopathy) and confusion
  • Seizures
  • Muscle weakness and clumsiness
  • Vomiting
  • Enlarged liver
  • Weakened, enlarged heart (cardiomyopathy)

Not everyone has every symptom. GARD's list comes from the Human Phenotype Ontology.

Diagnosis

  1. Talk with your doctor

    Share the symptoms you've noticed, when they started and your family health history. Notes and photos can help.

  2. See a specialist

    Specialists who may be involved include brain and nervous system specialists, genetic specialists and heart and blood vessel specialists.

  3. Consider genetic testing

    Changes in SLC22A5 are linked to this condition. Genetic testing and counseling can help confirm a diagnosis and explain what it means for your family.

  4. Connect with expert centers

    United Mitochondrial Disease Foundation, Hypertrophic Cardiomyopathy Association and MitoAction may keep lists of experts for this condition.

Care & treatment

Care team
Brain and nervous system specialists (neurologists); Genetic specialists (geneticists); Heart and blood vessel specialists (cardiologists)
Expert care
Expert lists: United Mitochondrial Disease Foundation, Hypertrophic Cardiomyopathy Association, MitoAction
Treatment
GARD doesn't list specific treatments for this condition. Your care team will tailor care to your symptoms.
Research
Clinical trials and observational studies may be options. See the research section below.

General information, not medical advice. Your care team makes the decisions.

Everyday life

Living with a rare condition is easier with support.

  • Connect with United Mitochondrial Disease Foundation and other patient organizations
  • Keep notes on symptoms, changes and questions for appointments
  • Ask about patient registries that help research
  • Look into financial aid and travel resources for care visits
Bring these questions to your next doctor visit
Would genetic testing for the SLC22A5 gene help our family?
How can we avoid situations that trigger problems, like fasting?
How often should the heart and blood sugar be checked?

Quick facts

Symptoms usually startNewborn and as an Infant
InheritanceAutosomal Recessive
GenesSLC22A5

This condition is caused by changes in the SLC22A5 gene. A child inherits a changed copy of the gene from each parent (autosomal recessive).

GeneticNeurologicalInherited Metabolic

Also known as: carnitine deficiency; carnitine deficiency, systemic; carnitine deficiency, systemic, due to defect in renal reabsorption of carnitine; carnitine transporter defect; carnitine transporter deficiency; carnitine transporter, plasma-membrane, deficiency of

Patient organizations

Source: NIH GARD · Renal carnitine transport defectGARD ID 5104 · GARD page updated September 2026 · Plain-language summary by Know Rare; editorial review pending. General information, not medical advice.

You are more than your diagnosis

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