RT Book, Section A1 Bissonnette, Bruno A1 Luginbuehl, Igor A1 Engelhardt, Thomas SR Print(0) ID 1164077714 T1 Maple Syrup Urine Disease (MSUD) T2 Syndromes: Rapid Recognition and Perioperative Implications, 2e YR 2019 FD 2019 PB McGraw-Hill Education PP New York, NY SN 9781259861789 LK accessanesthesiology.mhmedical.com/content.aspx?aid=1164077714 RD 2024/04/23 AB It is an inherited inborn error of metabolism caused by a complex enzymatic deficiency of branched-chain α-ketoacid dehydrogenase leading to the production of urine and sweat that smell like maple syrup. Clinical features include lethargy, hypotonia, seizures, bulging fontanelles, and progressive neurologic deterioration. Severe metabolic acidosis is the cause of death in the newborn.