Classic maple syrup urine disease

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Classic maple syrup urine disease

ORPHA:268145Clinical subtype

Also called Classic BCKD deficiency · Classic MSUD · Classic branched-chain alpha-ketoacid dehydrogenase deficiency · Classic branched-chain ketoaciduria

What it is

Classic maple syrup urine disease (classic MSUD) is the most severe and probably common form of MSUD characterized by a maple syrup odor in the cerumen at birth, poor feeding, lethargy and focal dystonia, followed by progressive encephalopathy and central respiratory failure if untreated.

Key facts

Prevalence
1-9 / 1 000 000 (Europe)
Age of onset
Neonatal
Inheritance
Autosomal recessive
Classified as
Clinical subtype

Prevalence figures describe populations, not individuals, and are often estimates from a single study. Where the figure is an incidence or a birth prevalence, it says so.

Genes

BCKDHADisease-causing germline mutation(s)
BCKDHBDisease-causing germline mutation(s) (loss of function)
DBTDisease-causing germline mutation(s) (loss of function)

ICD-10 codes

E71.0filed under a broader ICD-10 category — shared with 4 other rare diseases

ICD-10 has no distinct code for most rare diseases, so many are filed under the nearest available one. A shared code identifies the group, not this disease — the ORPHAcode above is what identifies it.

Related health topics

Reached through the ICD-10 categories this disease is filed under, so these describe the broader group rather than this disease specifically.

Cross-references

MONDO 0017051OMIM 248600OMIM 620698OMIM 620699UMLS C0268568

Orphadata Science: Free access data from Orphanet. © INSERM 1999. Data version 2026-06-23. Available under CC BY 4.0. This is a reference, not medical advice.

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