Maple syrup urine disease-treatment and outcome in patients of Turkish descent in Germany

Maple syrup urine disease (MSUD) is a rare autosomal recessive disorder that causes acute and chronic brain dysfunction because of a neurotoxic effect of the accumulating branched chain amino acids (BCAA) and their corresponding keto acids. Aim of the treatment is a rapid reversal of the neon...

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Main Authors: Eva Simon, Udo Wendel, Peter Schadewaldt
Format: Article
Language:English
Published: Hacettepe University Institute of Child Health 2005-01-01
Series:The Turkish Journal of Pediatrics
Online Access:https://turkjpediatr.org/article/view/2674
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author Eva Simon
Udo Wendel
Peter Schadewaldt
author_facet Eva Simon
Udo Wendel
Peter Schadewaldt
author_sort Eva Simon
collection DOAJ
description Maple syrup urine disease (MSUD) is a rare autosomal recessive disorder that causes acute and chronic brain dysfunction because of a neurotoxic effect of the accumulating branched chain amino acids (BCAA) and their corresponding keto acids. Aim of the treatment is a rapid reversal of the neonatal decompensation and a stable long-term metabolic control obtained by a carefully adjusted BCAA-low diet. In optimally treated patients, an unimpaired neurological and intellectual outcome is possible. Ten patients of Turkish origin suffering from MSUD are presently treated in the Metabolic Unit of the University Hospital in Düsseldorf, Germany. All patients show mild intellectual deficits; neurological impairment is rare. This paper aims to define the feasible standard of therapy and the resulting intellectual and psychosocial outcome achievable in MSUD patients of Turkish origin under high standard conditions of medical care for inborn errors of metabolism.
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issn 0041-4301
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publishDate 2005-01-01
publisher Hacettepe University Institute of Child Health
record_format Article
series The Turkish Journal of Pediatrics
spelling doaj-art-cf435a786d394bd6af16011ad4ba43d92025-08-20T02:01:57ZengHacettepe University Institute of Child HealthThe Turkish Journal of Pediatrics0041-43012791-64212005-01-01471Maple syrup urine disease-treatment and outcome in patients of Turkish descent in GermanyEva Simon0Udo WendelPeter SchadewaldtDepartment of General Pediatrics, University Children's Hospital Düsseldorf, Düsseldorf, Germany. Maple syrup urine disease (MSUD) is a rare autosomal recessive disorder that causes acute and chronic brain dysfunction because of a neurotoxic effect of the accumulating branched chain amino acids (BCAA) and their corresponding keto acids. Aim of the treatment is a rapid reversal of the neonatal decompensation and a stable long-term metabolic control obtained by a carefully adjusted BCAA-low diet. In optimally treated patients, an unimpaired neurological and intellectual outcome is possible. Ten patients of Turkish origin suffering from MSUD are presently treated in the Metabolic Unit of the University Hospital in Düsseldorf, Germany. All patients show mild intellectual deficits; neurological impairment is rare. This paper aims to define the feasible standard of therapy and the resulting intellectual and psychosocial outcome achievable in MSUD patients of Turkish origin under high standard conditions of medical care for inborn errors of metabolism. https://turkjpediatr.org/article/view/2674
spellingShingle Eva Simon
Udo Wendel
Peter Schadewaldt
Maple syrup urine disease-treatment and outcome in patients of Turkish descent in Germany
The Turkish Journal of Pediatrics
title Maple syrup urine disease-treatment and outcome in patients of Turkish descent in Germany
title_full Maple syrup urine disease-treatment and outcome in patients of Turkish descent in Germany
title_fullStr Maple syrup urine disease-treatment and outcome in patients of Turkish descent in Germany
title_full_unstemmed Maple syrup urine disease-treatment and outcome in patients of Turkish descent in Germany
title_short Maple syrup urine disease-treatment and outcome in patients of Turkish descent in Germany
title_sort maple syrup urine disease treatment and outcome in patients of turkish descent in germany
url https://turkjpediatr.org/article/view/2674
work_keys_str_mv AT evasimon maplesyrupurinediseasetreatmentandoutcomeinpatientsofturkishdescentingermany
AT udowendel maplesyrupurinediseasetreatmentandoutcomeinpatientsofturkishdescentingermany
AT peterschadewaldt maplesyrupurinediseasetreatmentandoutcomeinpatientsofturkishdescentingermany