Tests

Biotinidase Test

Updated: Apr 14, 2026 Published: May 24, 2023 Medical Team 2 min read

    Biotinidase is an enzyme that helps the body recycle and use the nutrient biotin. A Biotinidase quantitative blood test measures the level of biotinidase in the blood. It is used to diagnose and monitor biotinidase deficiency, which is a rare disorder that can lead to a variety of health problems if left untreated.

    Pre-test preparation:
    There is no specific preparation required for this test.

    Testing method:
    A blood sample is taken and sent to a laboratory for analysis.

    Common symptoms that may prompt a healthcare provider to prescribe a biotinidase quantitative blood test include:
    Seizures
    Skin rash
    Alopecia (hair loss)
    Neurological symptoms such as ataxia (lack of muscle coordination), developmental delays, and hearing loss
    Gastrointestinal symptoms such as vomiting and diarrhea

    Diagnosis:
    Low levels of biotinidase in the blood can indicate a deficiency of the enzyme. Biotinidase deficiency is an inherited disorder and can be diagnosed at birth or later in life.

    Reference range:
    Normal values for biotinidase levels in the blood vary depending on the laboratory, but generally range from 10 to 60 nanograms per milliliter (ng/mL).

    It’s important to note that the test results should be interpreted in the context of the patient’s clinical presentation and other test results. A single test result should not be used as the sole basis for diagnosis and treatment decisions. A qualified healthcare professional should interpret the test results and give you a proper diagnosis. Additionally, other biochemical and genetic tests may be used to confirm the diagnosis of biotinidase deficiency.

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