Biotinidase, Serum

Specimen requirement Adult patient:

  Clotted blood tube (Clot activator tube)

Minimum blood volume: 6 mL

Paediatric patient:

Paediatric clotted blood tube

Number of vials: 2

Minimum blood volume: 1.6 mL

Authorisation code required No
24 Hr available service No
Precaution Overnight fast or pre-feeding blood sample is collected into a plain clotted blood tube.

Method

Spectrophotometry

Reference interval

Category

Biotinidase activity in nmol pABA/ min/mL

Adult

> 4.4

Biotinidase deficient

< 0.7

 

Source: modified from Dove Pettit D.A. and Wolf B., 1991

Clinical indication

Diagnosis of biotinidase deficiency, an autosomal recessive inherited disorder of biotin recycling. Signs and symptoms include hypotonia, seizures, ataxia, developmental delay, skin rash, alopecia, and organic aciduria.

Result interpretation

Results interpreted by medical and scientific staff specialised in the field of inherited metabolic diseases.

To confirm biotinidase deficiency, measure biotinidase activities for immediate family members. Children with other type of biotin-responsive disorder, such as holocarboxylase synthetase deficiency (neonatal-onset multiple carboxylase deficiency), can exhibit symptoms similar to those of biotinidase deficiency.

Measurement of uncertainty

See table.

Frequency of measurement Bi-monthly