eng Science and Education Publishing American Journal of Medical Case Reports 2374-216X 2024-03-10 12 3 33 37 10.12691/ajmcr-12-3-2 AJMCR20241232 article S. AlKaabi 1 R. Ebead 1 M. Khames Magdy.aly@msc.mil.ae 1 M. Amin 1 S. Ahmed 1 A. Gupta 1 E. Marzouk 1 ICU Department Zayed Military Hospital Abu Dhabi, UAE This case study presents the clinical course and management of an 18-year-old male patient diagnosed with very long fatty acid dehydrogenase deficiency (VLCADD). The patient exhibited recurrent episodes of rhabdomyolysis accompanied by acute kidney injury (AKI) and elevated liver enzymes. Presented to us by irritability and restlessness and 3 episodes of seizures. The purpose of this case study is to highlight the challenges in diagnosing and managing this rare metabolic disorder and to emphasize the importance of early recognition and intervention to prevent further complications. https://pubs.sciepub.com/ajmcr/12/3/2/ajmcr-12-3-2.pdf VLCADD very long fatty acid dehydrogenase (FAD) rhabdomyolysis seizure