Haemodialysis is an effective treatment in acute metabolic decompensation of maple syrup urine disease

Acute metabolic decompensation in maple syrup urine disease can occur during intercurrent illness and is a medical emergency. A handful of reports in the medical literature describe the use of peritoneal dialysis and haemodialysis as therapeutic inventions. We report the only patient from our centre...

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Main Authors: P.S. Atwal, C. Macmurdo, P.C. Grimm
Format: Article
Language:English
Published: Elsevier 2015-09-01
Series:Molecular Genetics and Metabolism Reports
Subjects:
Online Access:http://www.sciencedirect.com/science/article/pii/S2214426915300197
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spelling doaj-2a821ef3ffb04bd09b6584ca754b23122020-11-24T23:13:56ZengElsevierMolecular Genetics and Metabolism Reports2214-42692015-09-014C464810.1016/j.ymgmr.2015.07.001Haemodialysis is an effective treatment in acute metabolic decompensation of maple syrup urine diseaseP.S. Atwal0C. Macmurdo1P.C. Grimm2Stanford University, Dept. of Pediatrics, Div. of Med. Genetics, 300 Pasteur Drive, Stanford, CA, 94305, United StatesStanford University, Dept. of Pediatrics, Div. of Med. Genetics, 300 Pasteur Drive, Stanford, CA, 94305, United StatesStanford University, Dept. of Pediatrics, Div. of Nephrology, 300 Pasteur Drive, Stanford, CA, 94305, United StatesAcute metabolic decompensation in maple syrup urine disease can occur during intercurrent illness and is a medical emergency. A handful of reports in the medical literature describe the use of peritoneal dialysis and haemodialysis as therapeutic inventions. We report the only patient from our centre to have haemodialysis performed in this setting. Combined with dietary BCAA restriction and calorific support, haemodialysis allows rapid reduction in plasma leucine concentrations considerably faster than conservative methods.http://www.sciencedirect.com/science/article/pii/S2214426915300197Maple syrup urine diseaseDialysisHaemodialysisAcute metabolic crisis
collection DOAJ
language English
format Article
sources DOAJ
author P.S. Atwal
C. Macmurdo
P.C. Grimm
spellingShingle P.S. Atwal
C. Macmurdo
P.C. Grimm
Haemodialysis is an effective treatment in acute metabolic decompensation of maple syrup urine disease
Molecular Genetics and Metabolism Reports
Maple syrup urine disease
Dialysis
Haemodialysis
Acute metabolic crisis
author_facet P.S. Atwal
C. Macmurdo
P.C. Grimm
author_sort P.S. Atwal
title Haemodialysis is an effective treatment in acute metabolic decompensation of maple syrup urine disease
title_short Haemodialysis is an effective treatment in acute metabolic decompensation of maple syrup urine disease
title_full Haemodialysis is an effective treatment in acute metabolic decompensation of maple syrup urine disease
title_fullStr Haemodialysis is an effective treatment in acute metabolic decompensation of maple syrup urine disease
title_full_unstemmed Haemodialysis is an effective treatment in acute metabolic decompensation of maple syrup urine disease
title_sort haemodialysis is an effective treatment in acute metabolic decompensation of maple syrup urine disease
publisher Elsevier
series Molecular Genetics and Metabolism Reports
issn 2214-4269
publishDate 2015-09-01
description Acute metabolic decompensation in maple syrup urine disease can occur during intercurrent illness and is a medical emergency. A handful of reports in the medical literature describe the use of peritoneal dialysis and haemodialysis as therapeutic inventions. We report the only patient from our centre to have haemodialysis performed in this setting. Combined with dietary BCAA restriction and calorific support, haemodialysis allows rapid reduction in plasma leucine concentrations considerably faster than conservative methods.
topic Maple syrup urine disease
Dialysis
Haemodialysis
Acute metabolic crisis
url http://www.sciencedirect.com/science/article/pii/S2214426915300197
work_keys_str_mv AT psatwal haemodialysisisaneffectivetreatmentinacutemetabolicdecompensationofmaplesyrupurinedisease
AT cmacmurdo haemodialysisisaneffectivetreatmentinacutemetabolicdecompensationofmaplesyrupurinedisease
AT pcgrimm haemodialysisisaneffectivetreatmentinacutemetabolicdecompensationofmaplesyrupurinedisease
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