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10.1146/annurev.bi.64.070195.000525 95 FukutaT.Ikeda-ImafukuM.IwaoY

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Carnitine has two forms: active (L-Carnitine) and non-active (D-carnitine)

On the one hand, it works as an autophagy adaptor, which targets ubiquitinated proteins to the autophagosome for consequent degradation

It was initially described in several case series in Europe and North America among children who presented with Kawasaki-like illness and were confirmed or known to have been in contact with another SARS-CoV-2infected individual.2 3 Kawasaki disease (KD) is most prevalent among East Asians but rare in other parts of the world.3 On the contrary, paediatric cross-sectional clinical studies from East Asia have reported that PIMS-TS is rare among East Asians.1 We present the first, and so far, the only case of PIMS-TS in China