Inborn Errors of Metabolism · USMLE Step 1

Which of the following clinical features is classically associated with untreated PKU?

  1. Maple-syrup odor of urine
  2. Sweaty-feet odor of urine
  3. Musty or mousy odor of urine or skin
  4. Fishy odor of urine
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Correct answer: Musty or mousy odor of urine or skin

Untreated PKU often results in a characteristic “musty” (or “mousy”) odor of the skin, urine or breath due to elevated phenylalanine and its metabolites.

Difficulty: Medium Question 2 of 19

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