United States


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Maple syrup urine disease: United States, January 6, 2013

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• Currently all states in the United States screen for Maple syrup urine disease. 
• In the United States, screening for the 31 core newborn screening conditions is not universally required by rule or law and fully implemented in any state. 

Footnotes

  • MSUD = Maple syrup urine disease
  • This inborn error of metabolism can be lethal if unrecognized and untreated. There is a wide spectrum of clinical presentations, from mild to severe. Affected babies appear normal at birth but soon begin to have neurological symptoms. The disorder gets its name from the fact that the urine smells like maple syrup. Without dietary treatment, severely affected babies do not survive the first month; even those who do receive treatment may have irreversible mental retardation. Rapid diagnosis and treatment are major factors in survival and outcome. Treatment consists of a special low-protein diet, which will vary depending on severity of symptoms, and sometimes, supplementation with a vitamin, thiamin. The diet must be continued indefinitely with frequent monitoring.

Source

  • National Newborn Screening and Genetics Resource Center.
  • Retrieved June 19, 2013, from www.marchofdimes.com/peristats.