Biotidinase deficiency: clinical features

Evidence-based neurology checklist on biotidinase deficiency: clinical features: Genetics and pathology This is caused by mutations in the biotidinase (BDN) gene on chromosome 3p The transmission is autosomal recessive Biotidinase is a water-soluble vitamin that is a coenzyme for carboxylases It…

Genetics and pathology

  • This is caused by mutations in the biotidinase (BDN) gene on chromosome 3p
  • The transmission is autosomal recessive
  • Biotidinase is a water-soluble vitamin that is a coenzyme for carboxylases
  • It is involved in carbohydrate, fatty acid, and protein metabolism
  • The mutation results in an increase in acylcarnitine levels

Central neurological features

Peripheral neurological features

Dermatological features

Ophthalmic features

Metabolic features

References

  1. Yilmaz S, Serin M, Canda E, et al. A treatable cause of myelopathy and vision loss mimicking neuromyelitis optica spectrum disorder: late-onset biotinidase deficiency. Metab Brain Dis 2017; 32:675-678. 
  2. Deschamps R, Savatovsky J, Vignal C, et al. Adult-onset biotinidase deficiency: two individuals with severe, but reversible optic neuropathy. JNNP 2018; 89:1009-1010. 
  3. Girard B, Bonnemains C, Schmitt E, Raffo E, Bilbault C. Biotinidase deficiency mimicking neuromyelitis optica beginning at the age of 4: a treatable disease. Mult Scler 2017; 23:119-122.
  4. Desai S, Ganesan K, Hegde A. Biotinidase deficiency: a reversible metabolic encephalopathy. Neuroimaging and MR spectroscopic findings in a series of four patients. Pediatr Radiol 2008; 38:848-856. 
  5. Wolf B, Heard GS, Weissbecker KA, McVoy JR, Grier RE, Leshner RT. Biotinidase deficiency: initial clinical features and rapid diagnosis. Ann Neurol 1985; 18:614-617.
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