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The affected infant may exhibit dysmorphic features, including microcephaly, overfolded helices, a sloping forehead, long and tapered fingers and toes, contractures, and hypoplastic toenails ( Among the various phenotypic forms of CPT II deficiency, the severe infantile hepatocardiomuscular type typically presents with hypoketotic hypoglycemia, liver failure, and cardiomyopathy within the first year of life

with vitamin B12 to contribute to normal energy metabolism

For patients without neurological involvement, the initial regimen is typically 1 mg intramuscularly three times weekly for 2 weeks

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