Excessive cellular accumulation or exposure to lipids such as long‐chain acylcarnitines (
LCAC
s), ceramides, and others is implicated in cell stress and inflammation. Such a situation might manifest when there is a significant mismatch between long‐chain fatty acid (
LCFA
) availability versus storage and oxidative utilization; for example, in cardiac ischemia, increased
LCAC
s may contribute to tissue cell stress and infarct damage. Perturbed
LCFA
β
‐oxidation is also seen in fatty acid oxidation disorders (
FAOD
s).
FAOD
s typically manifest with fasting‐ or stress‐induced symptoms, and patients can manage many symptoms through control of diet and physical activity. However, episodic clinical events involving cardiac and skeletal muscle myopathies are common and can present without an obvious molecular trigger. We have speculated that systemic or tissue‐specific lipotoxicity and activation of inflammation pathways contribute to long‐chain
FAOD
pathophysiology. With this in mind, we characterized inflammatory phenotype (14 blood plasma cytokines) in resting, overnight‐fasted (~10 h), or exercise‐challenged subjects with clinically well‐controlled long‐chain
FAOD
s (
n
= 12; 10 long‐chain 3‐hydroxyacyl‐CoA dehydrogenase [
LCHAD
]; 2 carnitine palmitoyltransferase 2 [
CPT
2]) compared to healthy controls (
n
= 12). Across experimental conditions, concentrations of three cytokines were modestly but significantly increased in
FAOD
(
IFN
γ
,
IL
‐8, and
MDC
), and plasma levels of
IL
‐10 (considered an inflammation‐dampening cytokine) were significantly decreased. These novel results indicate that while asymptomatic
FAOD
patients do not display gross body‐wide inflammation even after moderate exercise,
β
‐oxidation deficiencies might be associated with chronic and subtle activation of “sterile inflammation.” Further studies are warranted to determine if inflammation is more apparent in poorly controlled long‐chain
FAOD
or when long‐chain
FAOD
‐associated symptoms are present.