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Missense mutations retaining residual carnitine transport activity are identified with increased frequency in these mothers, who still remain at risk of sudden death from cardiac arrhythmia

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Others mnemonics, like KUSMALE (ketosis, uremia, salicylates, methanol, aldehydes, lactate, ethylene glycol), have become outdated with examples like aldehyde which refers to paraldehyde, an old sedative used in delirium tremens patients