Prospective Study of Maple-Syrup-Urine Disease for the First Four Days of Life

Maple-syrup-urine disease, also known as branched-chain ketoaciduria, results from a primary defect in oxidative decarboxylation of the ketoacids derived from the branched-chain amino acids leucine, isoleucine, and valine. 1 Neonates with the most common form of this autosomal recessive disorder (cl...

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Veröffentlicht in:The New England journal of medicine 1982-12, Vol.307 (24), p.1492-1495
Hauptverfasser: DiGeorge, Angelo M, Rezvani, Iraj, Garibaldi, Luigi R, Schwartz, Michael
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container_end_page 1495
container_issue 24
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container_title The New England journal of medicine
container_volume 307
creator DiGeorge, Angelo M
Rezvani, Iraj
Garibaldi, Luigi R
Schwartz, Michael
description Maple-syrup-urine disease, also known as branched-chain ketoaciduria, results from a primary defect in oxidative decarboxylation of the ketoacids derived from the branched-chain amino acids leucine, isoleucine, and valine. 1 Neonates with the most common form of this autosomal recessive disorder (classic maple-syrup-urine disease) appear normal at birth but usually become symptomatic by four or five days of age, with lethargy, poor appetite, vomiting, and alternating periods of hypertonicity and flaccidity. Progressive neurologic deterioration, seizures, coma, and acidosis ensue; death may occur within 10 to 14 days if the condition is untreated. 2 Delay in diagnosis or improper treatment results in mental retardation . . .
doi_str_mv 10.1056/NEJM198212093072405
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ispartof The New England journal of medicine, 1982-12, Vol.307 (24), p.1492-1495
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subjects Age
Age Factors
Amino acids
Amino Acids, Branched-Chain - blood
Case reports
Dehydrogenases
Female
Fetal Blood - analysis
Fibroblasts
Food, Formulated
Humans
Infant Food
Infant, Newborn
Isoleucine - blood
Leucine - blood
Male
Maple Syrup Urine Disease - blood
Maple Syrup Urine Disease - diagnosis
Maple Syrup Urine Disease - diet therapy
Medical screening
Metabolism
Newborn babies
Patients
Urine
Valine - blood
title Prospective Study of Maple-Syrup-Urine Disease for the First Four Days of Life
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