Biotinidase Deficiency

  • Posted Category : Articles
  • 10 June 2018


Biotinidase Deficiency

Biotinidase deficiency (BIOT) is an inherited condition in which the body is unable to reuse and recycle the vitamin biotin. Because the body needs free biotin to break down fats, proteins, and carbohydrates effectively, individuals with BIOT are less able to process important nutrients. There are two types biotinidase deficiency (BIOT) that differ in severity and treatment. Both forms of the condition can cause serious health concerns. Children with BIOT who are identified through newborn screening and begin treatment immediately usually remain healthy with normal development.

CONDITION TYPE

Other Disorders

FREQUENCY

How common is biotinidase deficiency?

Biotinidase deficiency occurs in one out of every 60,000 births. The condition is most common among individuals of European descent. However, it is reported among individuals of Turkish, Saudi Arabian, and Japanese descent, as well.

ALSO KNOWN AS

BIOT

BTD deficiency

Late-onset biotin-responsive multiple carboxylase deficiency

Late-onset multiple carboxylase deficiency

Type of Biotinidase

There are two main types of biotinidase deficiency (BIOT), differing in the severity of signs: severe “profound biotinidase deficiency” and mild “partial biotinidase deficiency.”

Signs of BIOT usually start within a few months after birth. In some cases, the symptoms may not appear until childhood. This is why early screening and identification is so important.

Early signs of BIOT include:

Seizures

Weak muscle tone (known as hypotonia)

Trouble breathing

Skin rash

Hair loss

Trouble balancing

A fungal infection called candidiasis

Many of these signs can be triggered by illnesses or infections.

Treatment

Supplements

Children with biotinidase deficiency (BIOT) often require lifelong treatment with biotin supplements. This is a natural vitamin found in food, but children with BIOT might not have enough of it in their bodies. Biotin supplements can help your baby’s body break down the fats, proteins, and carbohydrates found in food. Your baby’s doctor can help determine the right dosage of biotin for your child and write an appropriate prescription. to measure the levels of certain substances in the child’s blood.

Expected outcomes

If biotinidase deficiency (BIOT) is treated, your child will likely have healthy growth and development.

It is important to screen for and treat BIOT early because once your child experiences certain medical complications such as developmental delay, eye abnormalities, or hearing loss, treatment cannot reverse any damage that has occurred.

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