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 |