raremaprare-disease reference indexOrphadata 2026-06-23 · HPO 2026-09-01
ORPHA:268145

Classic maple syrup urine disease

Synonyms: Classic BCKD deficiency · Classic MSUD · Classic branched-chain alpha-ketoacid dehydrogenase deficiency · Classic branched-chain ketoaciduria

Type
Clinical subtype
Group
Subtype of disorder
Inheritance
Autosomal recessive
Age of onset
Neonatal
Status
active

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.

1

Names in Orphadata languages

12 of 12 languages
LangNameSynonyms
enClassic maple syrup urine diseaseClassic BCKD deficiency · Classic MSUD · Classic branched-chain alpha-ketoacid dehydrogenase deficiency · Classic branched-chain ketoaciduria
frMaladie des urines sirop d'érable, forme classiqueCétoacidurie à chaînes ramifiées classique · Déficit en BCKD, forme classique · Déficit en complexe de la déshydrogénase des alpha-cétoacides à chaîne ramifiée, forme classique · Leucinose classique · MSUD classique · Maladie des urines à odeur de sirop d'érable, forme classique
deAhornsirup-Krankheit, klassischeBCKD-Mangel, klassischer · MSUD, klassisch · Verzweigtketten-Ketoazidurie, klassische · Verzweigtketten-Ketonurie, klassische · Verzweigtkettige alpha-Ketosäuredehydrogenase-Mangel, klassisch
esEnfermedad de la orina con olor a jarabe de arce clásicaCetoaciduria de cadena ramificada clásica · Deficiencia de BCKD clásica · Deficiencia de alfa-cetoácido deshidrogenasa de cadena ramificada clásica · EOOJA clásica · MSUD clásica
itMalattia delle urine a sciroppo di acero classicaDeficit classico di BCKD · Deficit della 2-chetoacido deidrogenasi a catena ramificata, tipo classico · MSUD classica
nlKlassieke maple syrup urine diseaseKlassieke BCKD-deficiëntie · Klassieke MSUD · Klassieke ahornsiroopurineziekte · Klassieke deficiëntie van vertakte keten-alfa-ketozuurdehydrogenase · Klassieke esdoornsiroopurineziekte · Klassieke vertakte keten-ketoacidurie
ptDoença da urina xarope de bordo clássicaCetoacidúria de cadeia ramificada clássica · Deficiência de BCKD clássica · Deficiência de desidrogenase dos alfa-cetoácidos de cadeia ramificada clássica · MSUD clássica
plKlasyczna choroba syropu klonowegoKlasyczna ketoacyduria łańcuchów rozgałęzionych · Klasyczna MSUD · Klasyczny Niedobór BCKD · Klasyczny Niedobór dehydrogenazy ketokwasów rozgałęzionych
csKlasická leucinózaKlasická nemoc javorového sirupu · Klasický deficit BCKD · Klasická MSUD · Klasický deficit dehydrogenázy větvených 2-ketokyselin
ukКласична хвороба сечі кленового сиропуКласична недостатність BCKD · Класичний дефіцит альфа-кетокислотної дегідрогенази з розгалуженим ланцюгом · Класична розгалужена кетоацидурія · Класичний MSUD
zh经典枫糖尿病经典型支链α酮酸脱氢酶缺乏症
trKlasik akçaağaç şurubu idrar hastalığıKlasik MSUD · Klasik BCKD eksikliği · Klasik dallı zincirli ketoasidüri · Klasik dallı zincirli alfa-ketoasit dehidrojenaz eksikliği

Definition in:

2

Cross-references

qualifier = Orphanet mapping relation
SourceCodeQualifierICD relationValidation
OMIM248600BTNTvalidated
OMIM620698BTNTvalidated
OMIM620699BTNTvalidated
ICD-10E71.0NTBTattributedvalidated
ICD-115C50.D0NTBTindexvalidated
MONDO0017051Evalidated
UMLSC0268568Evalidated

E exact · NTBT this ORPHAcode is narrower than the target · BTNT broader than the target · ND not decided.

3

Classification

Preferential parent (Orphanet linearisation):

Parents in the classifications (1):

No children.

4

Genes

3 direct
GeneAssociationStatusHGNCEnsemblOMIMLocusNameSource of validation
BCKDHBDisease-causing germline mutation(s) (loss of function) inAssessedHGNC:987ENSG000000831232486116q14.1branched chain keto acid dehydrogenase E1 subunit beta20301495[PMID]
DBTDisease-causing germline mutation(s) (loss of function) inAssessedHGNC:2698ENSG000001379922486101p21.2dihydrolipoamide branched chain transacylase E220301495[PMID]
BCKDHADisease-causing germline mutation(s) inAssessedHGNC:986ENSG0000024809860834819q13.2branched chain keto acid dehydrogenase E1 subunit alpha20301495[PMID]
5

Prevalence and incidence

2 records
TypeClassValueAreaQualificationValidationSource
Prevalence at birthUnknown—WorldwideClass onlyValidatedORPHANET
Point prevalence1-9 / 1 000 000—EuropeClass onlyNot yet validatedORPHANET

Value is Orphadata's ValMoy: the mean estimate per 100 000 for prevalence and incidence, the number of cases or families for case reports.

6

HPO phenotypes

Orphanet has no HPO annotation for this code in this release.

7

Sources for this card