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KMID : 0918520180180020043
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Journal of the Korean Society of Inherited Metabolic Disease
2018 Volume.18 No. 2 p.43 ~ p.49
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A Newborn Case of Maple Syrup Urine Disease Type 1B Presenting with Lethargy and Central Apnea
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Kang Young-Tae
Choi Sung-Hwan
Ko Jung-Min
Shin Seung-Han
Kim Ee-Kyung
Kim Han-Suk
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Abstract
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Maple syrup urine disease (MSUD, OMIM#248600) is a rare and autosomal recessively-inherited metabolic disorder that is caused by mutations in the branched-chain α-ketoacid dehydrogenase (BCKDH) genes. It prevents the normal breakdown of branched-chain amino acids (BCAAs), such as leucine, isoleucine, and valine, and leads to poor feeding, lethargy, abnormal movements, seizure, and death if untreated. Here, we report the case of a Korean newborn of biochemically- and genetically-confirmed MSUD manifesting lethargy and central apnea, the acute state of which was successfully treated. The molecular genetic investigation revealed two novel heterozygous mutations (p.Ala32Phefs*48 and p.Val
130Phe) in BCKDHB, and both parents were confirmed as carriers. We emphasize the importance of early diagnosis and prompt introduction of specific treatment for MSUD in life saving and prognosis.
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KEYWORD
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Maple syrup urine disease, Branched-chain α-ketoacid dehydrogenase, Branched-chain amino acid, Central apnea
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