CPT2 and very long chain acyl-CoA dehydrogenase deficiency: In contrast, of eight clinically diagnosed patients, six patients were diagnosed with LCHAD/TFP deficiencies after presenting with recurrent rhabdomyolysis or cardiomyopathy, one patient with VLCAD deficiency had cardiomyopathy, and one patient with CPT-1 deficiency had hepatic failure.