TY - CHAP M1 - Book, Section TI - Maple Syrup Urine Disease (Branched-Chain Ketoaciduria) A1 - Hay, Jr, William W. A1 - Levin, Myron J. A1 - Deterding, Robin R. A1 - Abzug, Mark J. PY - 2017 T2 - Quick Medical Diagnosis & Treatment Pediatrics AB - Typical presentation is infantile encephalopathyDue to deficiency of the enzyme that catalyzes the oxidative decarboxylation of the branched-chain keto acid derivatives of leucine, isoleucine, and valineAccumulated keto acids of leucine and isoleucine cause the characteristic sweet odorOnly leucine and its corresponding keto acid have been implicated in causing central nervous system (CNS) dysfunctionMany variants of this disorder have been described, including mild, intermittent, and thiamine-dependent formsAll are autosomal recessive traits SN - PB - McGraw-Hill Education CY - New York, NY Y2 - 2024/04/19 UR - accesspediatrics.mhmedical.com/content.aspx?aid=1145456999 ER -