Lim et al., [42] reported that the patients with LCHAD deficiency who had either homozygous or heterozygous p.Glu474Gln variant in HADHA presented with cardiomyopathy, hypoglycemia, retinopathy, rhabdomyolysis, and peripheral neuropathy [42]. The gene discussed is HADHA; the disease is long chain 3-hydroxyacyl-CoA dehydrogenase deficiency.