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Generic Name: Levocarnitine US Brand Names: Carnitor, L-Carnitine Injection Drug Category: Nephrology Drug Class: L-Carnitine (IV) / Metabolic Modifier Route of Administration: Intravenous (IV) Bolus (Primary in Nephrology) or Oral FDA Approval Status: Fully FDA-approved for the prevention and treatment of carnitine deficiency in patients with end-stage renal disease who are undergoing dialysis

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The diagnosis is established by demonstrating abnormally low plasma free carnitine concentrations, reduced carnitine transport of fibroblasts from skin biopsy, and molecular analysis of the gene coding for OCTN2 (33, 34)

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The parallel or circle lines represent the melanin pigmentation within basal layer, and the characteristic histologic features of LMM