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Inborn errors of metabolism

Biotinidase deficiency

An inherited disease in which the body cannot reuse the vitamin biotin. If it is not recognized, it can cause seizures, floppy muscles, and hearing and vision loss in the first months of life.

Included in Türkiye's National Newborn Screening Programme (heel-prick test) since October 2008. Source

Orphanet has a guideline for emergency doctors for this disease (language: English). See on Orphanet

Prepare an emergency card

This page is translated from the Turkish original.

This disease is followed through the “Inborn errors of metabolism” group.

Understanding the disease

This section has not yet been reviewed by a physician. It summarises patient information from sources such as MedlinePlus, Orphanet and the NHS in plain language. The disease can differ from person to person; talk to your doctor about diagnosis and treatment.

What happens in this disease?

Biotin is a vitamin the body needs to process fats, proteins and sugars. In this disease, an enzyme called biotinidase works poorly. The body cannot reuse biotin. Because of this, harmful substances build up.

Which symptoms can occur?

Symptoms often begin in the first months; sometimes they appear later. In the mild type, symptoms may only appear during illness or stress.

  • Seizures (common in the severe type)
  • Muscle floppiness (common)
  • Skin rash and hair loss (common)
  • Hearing and vision loss (sometimes)
  • Balance and movement problems (sometimes)
  • Developmental delay (sometimes)
  • Breathing problems (sometimes)
  • Fungal infections such as thrush (sometimes)

How is it diagnosed?

The disease can be detected through newborn screening. For the diagnosis, the enzyme level in the blood is measured. A genetic test can also be done.

Treatment and care

The main approach is lifelong biotin supplements. Treatment started early can prevent symptoms. If symptoms have already begun, treatment can improve them. However, some problems, such as hearing loss, can be permanent. The doctor who follows the disease decides which treatment is suitable.

For the family: inheritance and genetic counselling

To have the disease, a person must receive one changed gene from the mother and one from the father. In each pregnancy, the chance that the child is affected is 1 in 4. Testing of brothers and sisters is recommended even if they have no symptoms. Genetic counselling guides the family.

Source: MedlinePlus Genetics — Biotinidase deficiency · Orphanet — Biotinidase deficiency (ORPHA:79241)

Key facts

How common is it?
Prevalence: 1-9 per 100 000 (Worldwide) · Birth prevalence: 1-9 per 100 000 (Worldwide)
How is it inherited?
Autosomal recessive
When does it usually start?
Newborn period, Infancy, Childhood, Adolescence, Adulthood
Gene(s) involved
BTD

These facts are taken from Orphanet and MedlinePlus records (last checked: October 7, 2026). Frequency values are approximate ranges.

You are not alone: patient associations in Türkiye

Non-profit patient and family organizations in Türkiye working on this disease or disease group. Links are for information; Doktorclub is not affiliated with these organizations and does not endorse them.

We could not find a patient association specific to this disease.

For all rare diseases: Nadir Hastalıklar Federasyonu

Guides related to this disease

  • Rare disease at school · Telling the school, medicines and emergency plan, inclusion and BEP, support education room, absences, LGS/YKS arrangements, peer bullying.

Support and help

Doktorclub does not diagnose, recommend treatments or refer you to hospitals or doctors. These pages are meant to help you talk with your doctor.

News about Biotinidase deficiency

Clinical trials (ClinicalTrials.gov)

A clinical trial is a regulated study that tests whether a new treatment is safe and whether it works, in patients who volunteer. Most trials look for a certain age, genetic change and health condition. Taking part is voluntary.

This list is not a treatment recommendation. Treatments tested in phase 1–3 trials are investigational (experimental): their efficacy and safety have not yet been proven and they are not approved treatments. Taking part depends on each trial’s criteria and a physician’s assessment; the first step is to talk to the doctor who manages your care.

ClinicalTrials.gov currently lists no active interventional studies for this disease. Last checked: October 7, 2026.

See all studies on ClinicalTrials.gov · Joining clinical trials

Inborn errors of metabolism: other news

Medical codes (for talking with your doctor and finding sources)

These codes identify the disease in international classifications and databases. They can help when you talk with your doctor or look for reliable sources.

Orphanet code: ORPHA:79241

No separate ICD-11 code; WHO classifies this disease under: 5C50.E0 (Classical organic aciduria)

Codes checked against WHO ICD-11 and Orphanet on October 6, 2026.

This page provides general information and does not replace diagnosis or treatment. Talk to your doctor about symptoms, diagnosis and treatment.

The information on these pages is for general information only and does not replace medical advice. Talk to your doctor about diagnosis and treatment decisions. In an emergency in Türkiye, call 112.

Every update is based on an open source and labeled with its level of evidence. No advertising and no drug brand names. Our scientific principles

This page was translated from Turkish by the Doktorclub editorial team.