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Carnitine plays an essential role in transfer of long-chain fatty acids to mitochondria for β-oxidation. No studies have characterized carnitine in children with Kawasaki disease (KD). The objective of this study is to clarify the characteristics of serum free carnitine (FC) in hospitalized pediatric patients with KD. We retrospectively analyzed 45 patients with KD in whom serum FC levels were measured. We investigated the clinical and laboratory parameters before the intravenous immunoglobulin including serum FC levels according to the