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    Subjects/Biochemistry/Amino Acidurias — PKU, Alkaptonuria, Maple Syrup
    Amino Acidurias — PKU, Alkaptonuria, Maple Syrup
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    flask-conical Biochemistry

    A 6-month-old male infant presents with poor weight gain, developmental delay, and recurrent infections. Urine dipstick shows a positive reducing substance that does NOT react with glucose oxidase. On examination, the child has a distinctive sweet or 'maple syrup' odour to the urine and sweat. Which investigation is most appropriate to confirm the suspected diagnosis?

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