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In severe cases, rituximab or cyclophosphamide could be tried

L-Carnitine deficiency can lead to nerve problems, heart disease, and loss of muscle mass and function

[DOI] [PMC free article] [PubMed] [Google Scholar] 11.Becerra TA, von Ehrenstein OS, Heck JE, Olsen J, Arah OA, Jeste SS, Rodriguez M, Ritz B

[DOI] [PMC free article] [PubMed] [Google Scholar] 2

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As opposed to PCD, SCD occurs due to, or in association with, other disorders such as liver or kidney disease, defects in fatty acid metabolism, or administration of pharmacological agents such as pivampicillin or valproic acid (discussed below) [27, 41, 42]