In the sentence extracted from biomedical literature, identify all the disease entities. The required answer format is the same sentence with HTML <span> tags to mark up specific entities. 
### Entity Markup Guides:
Use <span class="disease"> to denote a disease.

### Input Text: This agrees well with the fact that cardiac and muscle symptoms are characteristic for patients with VLCAD deficiency .
### Output Text:
This agrees well with the fact that cardiac and muscle symptoms are characteristic for patients with <span class="disease">VLCAD deficiency</span> . 