CPT2 and hyperinsulinemic hypoglycemia, familial, 4: Deficiency of this system leads to primary carnitine deficiency (PCD), carnitine-acylcarnitine translocase deficiency (CACTD), carnitine palmitoyltransferase 1 deficiency (CPT1D), and carnitine palmitoyltransferase 2 deficiency (CPT2D) [4].