maple syrup urine disease

maple syrup urine disease
ma·ple syr·up urine disease 'mā-pəl-'sər-əp-, -'sir-əp- n a hereditary aminoaciduria caused by a deficiency of decarboxylase leading to high concentrations of valine, leucine, isoleucine, and alloisoleucine in the blood, urine, and cerebrospinal fluid and characterized by an odor of maple syrup to the urine, vomiting, hypertonicity, severe mental retardation, seizures, and eventually death unless the condition is treated with dietary measures

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(MSUD) a genetically heterogeneous, autosomal recessive aminoacidopathy caused by mutation in genes that encode subunits of the branched-chain α-keto acid dehydrogenase complex. Branched-chain amino acids and their keto acid analogues accumulate in blood and urine, causing severe ketoacidosis, seizures, coma, physical and mental retardation, and a characteristic smell of maple syrup in the urine and on the body. The disease can be divided into four clinical phenotypes: classic, the most severe, with neonatal onset and usually rapid death; intermediate, of lessened severity and usually later onset; intermittent, with normal periods punctuated by periods of ataxia and ketoacidosis; and thiamine-responsive, caused by decreased affinity of the dehydrogenase complex for the cofactor thiamine pyrophosphate. Called also branched-chain ketoaciduria.

Medical dictionary. 2011.

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