Biotinidase Deficiency Overview Biotinidase deficiency (BTD) deficiency is a treatable, inherited condition. BTD affects the way the body processes a vitamin called biotin (sometimes called vitamin H). Biotin is an important vitamin that helps the body break down protein, fats, and carbohydrates. Biotinidase is an enzyme that helps recycle biotin to be reused by the body. Bitotinidase deficiency happens when this enzyme this isn’t working properly. BTD is caused by genetic changes (mutations) in the BTD gene. If untreated, BTD can cause health problems such as: Seizures Muscle weakness (hypotonia) Problems with controlling body movements (ataxia) Developmental delay Problems with vision and hearing BTD can have other features as well, including skin differences like rashes (eczema) and hair loss (alopecia). BTD can be treated by giving people with the condition extra biotin for their body to use. If treated early, people with BTD can avoid all symptoms of the condition and lead a norma...