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Pathogenesis (Biotin Recycling Disorder)
  • Biotinidase deficiency or inactivity results in a failure of biotin recycling, and thus failure of breakdown of proteins, carbohydrates, and fats – it results in a build-up of biotin-dependent carboxylases.
Clinical
  • Onset: Infancy – Childhood
  • Neurological manifestations: DIFFUSE. Cognitive Delay, Motor Impairment, Seizures, Hearing & Vision Loss.
  • System: Rash, Alopecia, Infection (Candidiasis).
Genetics
  • BTD mutation.
  • Autosomal recessive.
References
  • Calvo, Sherri; Collins, Heather; Greenberg, Kathleen, et. al at US National Library of Medicine, Genetics Home Reference. https://ghr.nlm.nih.gov