Maple syrup urine disease (MSUD) is a genetic medical disorder. It causes a problem with how the human body deals with amino acids. It is also called branched chain ketoaciduria. Maple syrup urine disease affects about 1 in 185,000 infants worldwide.
The most noticeable symptom of the disorder is an infant with sweet-smelling urine. Infants with this disease seem healthy at birth. If the disease is not treated, the person will suffer severe brain damage and eventually die. MSUD is much more common in children of Amish and Mennonite descent.
From a very early age, the condition can be recognised by poor feeding, vomiting, lack of energy, seizures, and mental health issues. The urine of infants with this disease has a very sweet odor, much like burned caramel or maple syrup. This is what gives the condition its name.
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Inborn error of amino acid metabolism |
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| K→acetyl-CoA | | Lysine/straight chain |
- Glutaric acidemia type 1
- type 2
- Hyperlysinemia
- Pipecolic acidemia
- Saccharopinuria
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| Leucine |
- 3-hydroxy-3-methylglutaryl-CoA lyase deficiency
- 3-Methylcrotonyl-CoA carboxylase deficiency
- 3-Methylglutaconic aciduria 1
- Isovaleric acidemia
- Maple syrup urine disease
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| Tryptophan | |
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| G | | G→pyruvate→citrate | | Glycine |
- D-Glyceric acidemia
- Glutathione synthetase deficiency
- Sarcosinemia
- Glycine→Creatine: GAMT deficiency
- Glycine encephalopathy
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G→glutamate→ α-ketoglutarate | | Histidine |
- Carnosinemia
- Histidinemia
- Urocanic aciduria
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| Proline |
- Hyperprolinemia
- Prolidase deficiency
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| Glutamate/glutamine | |
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G→propionyl-CoA→ succinyl-CoA | | Valine | |
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| Isoleucine | |
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| Methionine |
- Cystathioninuria
- Homocystinuria
- Hypermethioninemia
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| General BC/OA |
- Methylmalonic acidemia
- Methylmalonyl-CoA mutase deficiency
- Propionic acidemia
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| G→fumarate | | Phenylalanine/tyrosine | | Phenylketonuria |
- 6-Pyruvoyltetrahydropterin synthase deficiency
- Tetrahydrobiopterin deficiency
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| Tyrosinemia |
- Alkaptonuria/Ochronosis
- Tyrosinemia type I
- Tyrosinemia type II
- Tyrosinemia type III/Hawkinsinuria
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| Tyrosine→Melanin |
- Albinism: Ocular albinism (1)
- Oculocutaneous albinism (Hermansky–Pudlak syndrome)
- Waardenburg syndrome
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| Tyrosine→Norepinephrine |
- Dopamine beta hydroxylase deficiency
- reverse: Brunner syndrome
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| G→oxaloacetate | Urea cycle/Hyperammonemia (arginine
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Argininemia
Argininosuccinic aciduria
Carbamoyl phosphate synthetase I deficiency
Citrullinemia
N-Acetylglutamate synthase deficiency
Ornithine transcarbamylase deficiency/translocase deficiency
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Transport/ IE of RTT |
- Solute carrier family: Cystinuria
- Hartnup disease
- Iminoglycinuria
- Lysinuric protein intolerance
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| Other |
- 2-Hydroxyglutaric aciduria
- Aminoacylase 1 deficiency
- Ethylmalonic encephalopathy
- Fumarase deficiency
- Trimethylaminuria
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