Abstract

Maple Syrup Urine Disease (MSUD) is an autosomal recessive inborn error of metabolism characterized by decreased enzymatic activity of branched-chain alpha-ketoacid dehydrogenase which leads to an inability to break down branched chain amino acids. It is critical for physicians to make a prompt diagnosis of metabolic disorders to decreased metabolic decompensations and mitigate long-term complications A 33 year old G2 P2 Indian woman with no known family history of MSUD gave …

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