By: Christer Löfkrantz and Nita Helseth
Autosomal recessive disorder Protein complex BCKD (Branched- chain alpha-ketoacid dehydrogenase) Mutations of at least four genes Unable to break down three types of amino acids (Leucine, Isoleucine and valine)
Accumulation of the amino acids in the blood Toxic substances Cause permanent brain damage Developmental delay Mother’s milk Infection
Sweet–smelling urine(Maple syrup) Poor appetite Weak suck Vomiting High pitched cry Low energy/extreme sleepiness ‘‘Meningitis’’ Seizures Coma
Early diagnosis prevent brain damage Dietary restriction of Leucine, Isoleucine and Valine Infants: Special formula of milk Adult: Protein-free diet Liver transplantation Newborn screening
Aproximately 1 in infants each year are diagnosed with MSUD worldwide 10 cases of MSUD are known in Norway
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