Biotinidase Deficiency is a rare inherited metabolic disorder caused by mutations in the BTD gene. This condition affects the body’s ability to recycle biotin (Vitamin B7), an essential vitamin required for healthy metabolism, nervous system function, skin, and hair health.
Why is this test done?
BTD gene sequencing helps identify mutations associated with biotinidase deficiency and is recommended for:
Newborns with abnormal metabolic screening results
Individuals with seizures, developmental delay, hearing loss, or skin rash
Unexplained neurological symptoms
Family history of biotinidase deficiency
Carrier screening for couples planning pregnancy
Symptoms of Biotinidase Deficiency
Symptoms may vary from mild to severe and can include:
Seizures
Weak muscle tone (hypotonia)
Breathing difficulties
Hair loss (alopecia)
Skin rashes
Developmental delay
Vision or hearing problems
Coordination difficulties
About the Test
Sample Required: Blood sample
Method: Next Generation Sequencing (NGS) / Sanger Sequencing
Gene Analyzed: BTD gene
Purpose: Detect pathogenic mutations linked to biotinidase deficiency
Benefits of Early Detection
Early diagnosis allows timely treatment with biotin supplementation, which can prevent irreversible neurological damage and significantly improve quality of life.
Who should consider this test?
Infants with positive newborn screening
Children with unexplained neurological symptoms
Siblings of affected individuals
Couples seeking genetic counseling
Turnaround Time
Typically 2–4 weeks, depending on laboratory workflow.
Interpretation
Results should always be interpreted along with:
Clinical findings
Enzyme activity levels
Family history
Genetic counseling recommendations
Early genetic testing plays a crucial role in preventing long-term complications and supporting personalized treatment decisions.