has material basis in germline mutation in CPT2 carnitine palmitoyl transferase II deficiency, myopathic form https://github.com/monarch-initiative/mondo/issues/4521 https://www.malacards.org/card/carnitine_palmitoyltransferase_ii_deficiency_myopathic_stress_induced The myopathic form of carnitine palmitoyltransferase II (CPT II) deficiency, an inherited metabolic disorder that affects mitochondrial oxidation of long chain fatty acids (LCFA), is the most common and the least severe form of CPT II deficiency. MEDGEN:371584 CPT2, myopathic form UMLS:C1833508 CPTII, myopathic form CPT2, adult-onset form OMIM:255110 carnitine palmitoyl transferase II deficiency, myopathic form MESH:C563461 Carnitine palmitoyl transferase deficiency type 2, myopathic form Orphanet:228302 Carnitine palmitoyl transferase deficiency type 2, adult-onset form GARD:0017149 CPT II deficiency, myopathic, stress-induced MONDO:0009704 Carnitine palmitoyl transferase II deficiency, adult-onset form CPTII, adult-onset form carnitine palmitoyltransferase II deficiency