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Isovaleric Acidemia Type I C4017056

Published: July 22, 2026Updated: August 20, 2026

Isovaleric Acidemia Type I is an inherited metabolic disorder preventing proper breakdown of the amino acid leucine. Infants may develop life-threatening metabolic crises. Treatment involves specialized diet and supportive care.

Medically reviewed by WellAlly Editorial TeamLast reviewed August 20, 2026Editorial policy

Key facts at a glance

ICD-10
E88.9
ICD-11
5A00.0
Body system
metabolic
Severity
severe
Chronic
true

Signs and symptoms

Common signs and symptoms that may indicate this condition.

Fatigue or weight changes

(metabolic)

Significant symptoms that substantially affect daily functioning.

Frequency: Common at all stages

Sweaty foot odor

(metabolic)

Vomiting

(metabolic)

Metabolic acidosis

(metabolic)

Seizures

(metabolic)

Diagnosis and tests

How this condition is diagnosed and what test results mean.

Initial screening tests

1

Standard diagnostic workup

Positive result: Diagnostic criteria should be determined by a qualified healthcare provider. [Content pending medical review.]

Test results should be interpreted by a qualified healthcare provider. [Content pending medical review.]

Treatment options

Evidence-based approaches to managing this condition.

First-line treatments

1

Drug therapy and clinical monitoring

Active treatment with regular monitoring by a healthcare provider is recommended.

medication
2

Leucine-restricted diet

Lifelong dietary management restricting leucine intake through specialized metabolic formulas and careful food selection to prevent toxic metabolite accumulation and acute metabolic decompensation.

dietary
3

Emergency metabolic protocol

Pre-printed sick-day guidelines instructing caregivers to provide high-calorie, leucine-free emergency feeds during illness or fasting to prevent catabolism and metabolic crisis onset.

dietary

Additional treatment options

L-carnitine supplementation

Carnitine supplementation to support mitochondrial function and facilitate excretion of toxic acylcarnitine metabolites accumulated in isovaleric acidemia.

medication

Glycine supplementation

Oral glycine therapy to enhance conjugation of isovaleric acid to less toxic metabolites, potentially reducing the frequency of metabolic crises in some patients.

medication

Metabolic laboratory monitoring

Regular biochemical monitoring including plasma amino acids, acylcarnitine profile, and urine organic acids to assess metabolic control and guide dietary adjustments.

monitoring

When to seek medical help

Recognize when you need immediate medical attention.

See a doctor within 24 hours

Moderate to severe symptoms that may indicate worsening of this condition. Prompt medical evaluation is recommended.

Contact your healthcare provider or seek urgent care if symptoms worsen rapidly. Go to the emergency department for life-threatening symptoms.

Frequently asked questions

Common questions about this topic.

Q

What is Isovaleric Acidemia Type I C4017056?

Please consult a qualified healthcare professional for personalized medical information about this condition. [Content pending medical review.]

general

Medication Comparisons

Compare medications used to treat Isovaleric Acidemia Type I C4017056. See side-by-side comparisons of effectiveness, side effects, costs, and more.

View Medication Comparisons

This information is for educational purposes only and is not a substitute for professional medical advice, diagnosis, or treatment.

Medical Disclaimer

This content is for general informational and educational purposes only and is not a substitute for professional medical advice, diagnosis, or treatment. Always seek the guidance of a qualified healthcare provider with any questions you have about a medical condition, and never disregard professional medical advice or delay seeking it because of something you read here.

If you think you may have a medical emergency, call your local emergency number or go to the nearest emergency department immediately.

Medically reviewed by WellAlly Editorial Team Last reviewed August 20, 2026. · Read our editorial policy