Abstract. By using the non-relativistic effective Lagrangian approach to bound states, a complete expression for the isospin-breaking corrections to the energy levels and the decay widths of kaonic hydrogen is obtained up-to-and-including O(α, m d − mu) in QCD. It is demonstrated that, although the leading-order corrections at O(α 1/2 , (m d − mu) 1/2 ) emerging due to the unitarity cusp, are huge, they can be expressed solely in terms of the KN S-wave scattering lengths. Consequently, at leading order, it is possible to derive parameter-free modified Deser-type relations, which can be used to extract the scattering lengths from the hadronic atom data.