U.S. doctors online nowAsk doctors free
Argentina
A 23-year-old male asked:

Can mcad deficiency be present in adulthood? can i know clinically if i have this? which are the symptoms and the treatment?

2 doctor answers2 doctors weighed in
Dr. Tania Dempsey
Internal Medicine 26 years experience
Yes: Medium-chain acyl-coa dehydrogenase deficiency can in rare instances go undiagnosed until adulthood. There may be no symptoms until the body is put into a fasting state. Normally, the body would try to break down fat to make sugar to keep the blood sugar stable but with mcad def. Fats cannot be broken down. This can lead to a variety of issues. Treatment is to avoid fasting and carnitine suppl.
Dr. James Shoemaker
General Practice 41 years experience
Most outgrow it: Medium chain acyl-coa dehydrogenase deficiency has been described in adults, but most children outgrow the risk of fatal hypoglycemia by the age of 8 or so. One theory of why this is is that the available pool of coenzyme a is increased as babies grow. Acylcarnitine analysis can detect this condition in adults who may have muscle pain on exertion, heart problems or low blood sugar when fasting.

90,000 U.S. doctors in 147 specialties are here to answer your questions or offer you advice, prescriptions, and more. Get help now:

Ask doctors free
Educational text
Free
Talk to a doctor
24/7 visits - just $39!
50% off with $15/month membership

Related questions

A 36-year-old member asked:
1 doctor answer1 doctor weighed in
A 40-year-old member asked:
1 doctor answer3 doctors weighed in
A 47-year-old member asked:
1 doctor answer1 doctor weighed in
A 27-year-old male asked:
1 doctor answer2 doctors weighed in
Last updated Sep 28, 2016

Disclaimer:

Content on HealthTap (including answers) should not be used for medical advice, diagnosis, or treatment, and interactions on HealthTap do not create a doctor-patient relationship. Never disregard or delay professional medical advice in person because of anything on HealthTap. Call your doctor or 911 if you think you may have a medical emergency.