Amish, Mennonite, and Hutterite
Genetic Disorder Database

Maple syrup urine disease

Disorder
OMIM #: #248600  (Click to access OMIM database)
Disorder: Maple syrup urine disease 
Also known as: MSUD
Branched-chain ketoacidurea
BCKD deficiency
Keto acid decarboxylase deficiency 
Clinical
Phenotype: Symptoms in the neonate include; ketonuria, lethargy, feeding difficulties, dystonia, seizures, apnea, global developmental delay/mental retardation, growth deficiency Symptons in Acute Episodes Include; neurologic dysfunction, epigastric pain, muscle weakness, dystonia, ataxia, stupor, hallucinations 
Seen In: Amish
Old Order Mennonite
Old Colony Mennonite
Unknown/Other Mennonite
Hutterite
Remarks:  
Mutations
ReferencesFisher C, Fisher CW, Chuang D, and Cox R. (1991) Occurrence of a Tyr393>Asn (Y393N) Mutation in the El(alpha) Gene of the Branched-Chain alpha-keto Acid Dehydrogenase Complex in Maple Syrup Urine Disease Patients from a Mennonite Population. Am. J. Hum. Genet. 49: 429-434.
PubMed ID: 1867199
1   Old Order Mennonite  
Gene: BCKDHA
Base Change: T>A, at nucleotide 1312
Amino Acid Change: tyr 393 --> asn
Last updated: 2010-07-22 

References
 
Boycott KM, Parboosingh JS, Chodirker BN, Lowry RB, McLeod DR, Morris J, Greenberg CR, Chudley AE, Bernier FP, Midgley J, Møller LB, Innes AM. (2008) Clinical genetics and the Hutterite population: a review of Mendelian disorders. Am J Med Genet A 146A(8):1088-98.
PubMed ID: 1834826 
Fisher C, Fisher CW, Chuang D, and Cox R. (1991) Occurrence of a Tyr393>Asn (Y393N) Mutation in the El(alpha) Gene of the Branched-Chain alpha-keto Acid Dehydrogenase Complex in Maple Syrup Urine Disease Patients from a Mennonite Population. Am. J. Hum. Genet. 49: 429-434.
PubMed ID: 1867199 
Morton D, Strauss K, Robinson D, Puffenberger EG, and Kelley R. (2002) Diagnosis and Treatment of Maple Syrup Disease: A Study of 36 Patients. Pediatrics 109: 999-1008.
PubMed ID: 12042535 

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