Long-term auditory and visual complications of biotinidase deficiency.

Abstract:

:The biochemical, dermatological and neurological motor disorders of biotinidase deficiency (multiple carboxylase deficiency) show a dramatic response to pharmacological doses of biotin. This condition is characterised by the accumulation of biocytin and depletion of biotin. Neuromuscular function returns to normal with the reversal of the characteristic organic acidaemia. It would appear that the optic and auditory nerves or their related neurological structures may suffer damage from the excess biocytin and deficient biotin. Despite reversal of the dermatological and psychomotor abnormalities children are likely to be left with auditory and/or visual handicaps if diagnosis and treatment is delayed beyond the first year of life. Treatment with biotin was commenced 6, 18, and 13 months after onset of symptoms. Two children subsequently were found to have visual impairment (acquired retinal dysplasia) and two had sensori-neural deafness. In one patient both defects were present.

journal_name

Early Hum Dev

journal_title

Early human development

authors

Taitz LS,Leonard JV,Bartlett K

doi

10.1016/0378-3782(85)90086-6

subject

Has Abstract

pub_date

1985-09-01 00:00:00

pages

325-31

issue

3-4

eissn

0378-3782

issn

1872-6232

pii

0378-3782(85)90086-6

journal_volume

11

pub_type

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