Skip to main content
. 2023 Jul 6;11:1221781. doi: 10.3389/fped.2023.1221781

Table 1.

Contraindications for the KD treatment.

Absolute contraindications for the KD Relative contraindications for the KD
Carnitine deficiency (primary) The presence of surgical focus as being identified by neuroimaging and video electroencephalogram monitoring
Carnitine palmitoyl-transferase I or II deficiency Inability to maintain adequate nutrition (fastidious eater)
Carnitine translocase deficiency Parent or caregiver non-compliance
Pyruvate carboxylase deficiency Propofol concurrent use (risk of propofol infusion syndrome may be higher)
Porphyria
β-oxidation defects:
  • Short-chain acyl dehydrogenase deficiency

  • Medium-chain acyl dehydrogenase deficiency

  • Long-chain acyl dehydrogenase deficiency

  • Medium-chain 3-hydroxy acyl-CoA deficiency

  • Long-chain 3-hydroxy acyl-CoA deficiency