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Urinary albumin was determined by ELISA assay (Albuwell M, Ethos Biosciences, Logan Township, NJ, US), and creatinine was determined using a colorimetric assay based on the alkaline picrate method (The Creatinine Companion, Ethos Biosciences, Logan Township, NJ, United States)

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Systemic primary carnitine deficiency Systemic primary carnitine deficiency ( SPCD ) [1] is an inborn error of fatty acid transport caused by a defect in the transporter responsible for moving carnitine across the plasma membrane