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Title
Niemann‑Pick Disease
ImagePath
System
Lysosomal storage disease
Overview
AR sphingomyelinase deficiency → sphingomyelin accumulation.
Pathophysiology
Phagocytic dysfunction, neuronal death.
Presentation
Infantile: progressive neurodegeneration, hypotonia, hepatosplenomegaly, foam cells, cherry‑red macula.
Diagnosis
SMPD1 enzyme assay; filipin staining; molecular test.
Management
Supportive; investigational miglustat, ERT.
Epidemiology
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