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NIEMANN-PICK DISEASE TYPE A

NIEMANN-PICK DISEASE TYPE A
257200
OMIM = Online Mendelian Inheritance of Men
77292
Sphingomyelin phosphodiesterase
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11p15.4
E75.2
rare (> 100 cases, all forms, Ashkenazic jewish 1:120)
autosomal recessive
mutation in the sphingomyelin phosphodiesterase-1 gene
different phenotypes
Laboratory findings    Acid sphingomyelinase dec (fibroblasts)
    Foam cells, bone marrow (bone marrow)
    Sphingomyelin inc (tissue)
Symptoms    anemia
    cherry-red spot on retinal macula
    cirrhosis or fibrosis of liver
    constipation
    early death
    failure to thrive
    feeding difficulties, poor feeding
    hepatomegaly (large liver)
    hypotonia
    infections (severe or recurrent)
    interstitial pneumonitis
    jaundice
    mental retardation
    muscle weakness
    neurological deterioration
    onset, infancy
    osteoporosis
    progressive neurologic defect
    psychomotor retardation
    ptosis (drooping eyelid)
    short stature
    splenomegaly (large spleen)
    vomiting
    xanthoma