Typical pathological changes in the internal organs of an adolescent patient with Niemann-Pick disease type B based on multimodal imaging findings
https://doi.org/10.18705/2782-3806-2025-5-5-420-425
Abstract
Niemann-Pick disease is a rare genetic disorder with an autosomal recessive inheritance pattern, which belongs to a group of sphingolipid metabolism diseases. According to available data, Niemann-Pick disease type B is caused by mutations in the SMPD1 gene, which is located on the short arm of chromosome 11. A missense substitution leads to insufficient production of the lysosomal enzyme acid sphingomyelinase, which is responsible for the breakdown of sphingomyelin. As a result, sphingomyelin accumulates in the cells of the reticuloendothelial system, leading to abnormalities in various organs.
This article describes a clinical case of an adolescent girl with Niemann-Pick disease type B, in whom typical changes in the internal organs were identified using several medical imaging modalities.
About the Authors
O. V. BodrovaРоссия
Olga V. Bodrova, MD, Resident of the Department of Radiology and Medical Imaging
2 Akkuratova str., St. Petersburg, 197341
I. A. Mashchenko
Россия
Irina A. Mashchenko, MD, PhD, Associate Professor of the Department of Radiology and Medical Imaging
St. Petersburg
G. E. Trufanov
Россия
Gennadiy E. Trufanov, MD, PhD, DSc, Professor, Head of the Department of Radiology and Medical Imaging
St. Petersburg
P. V. Kozlova
Россия
Polina V. Kozlova, MD, Assistant of the Department of Radiology and Medical Imaging
St. Petersburg
M. G. Shatokhina
Россия
Maria G. Shatokhina, MD, PhD, Assistant of the Department of Radiology and Medical Imaging
St. Petersburg
References
1. William L, Simpson Jr, Mendelson D, et al. Imaging manifestations of Niemann-pick disease type B. American Journal of Roentgenology. 2010;194:1:12–19. https://doi.org/10.2214/AJR.09.2871
2. Freitas HMP, Mançano AD, Rodrigues, et al. Niemann-Pick disease type B: HRCT assessment of pulmonary involvement. Jornal Brasileiro de Pneumologia. 2017;43(6):451–455. https://doi.org/10.1590/S1806-37562017000000062
3. Geberhiwot T, Wasserstein M, Wanninayake S, et al. Consensus clinical management guidelines for acid sphingomyelinase deficiency (Niemann-Pick disease types A, B and A/B). Orphanet. 2023;18(1):85. https://doi.org/10.1186/s13023-023-02686-6
4. Martins RS, Rocha S, Guimas A, et al. Niemann-Pick Type B: a rare cause of interstitial lung disease. Cureus. 2022;14(1). https://doi.org/10.7759/cureus.21230
5. Kuzenkova LM, Namazova-Baranova LS, Studenikin VM, et al. 100 years of Niemann-Pick disease: what’s new? Effective pharmacotherapy. 2015;3:10–15. (In Russ.)
6. Korsa EW, Hailu SS, Asfaw H, et al. Niemann-pick disease with visceral and pulmonary involvement in a resource limited setting: a rare case report. Radiology Case Reports. 2025;3:1456–1460. https://doi.org/10.1016/j.radcr.2024.11.021
7. Long Mohd Noor Affendi SNAB, Tong CV, Nordin NDB. Niemann-Pick disease with bilateral adrenal mass. JCEM Case Reports. 2023:1(6):luad152. https://doi.org/10.1210/jcemcr/luad152
8. Zhurkova NV, Vashakmadze ND, Surkov AN, et al. NiemannPick disease type A: a clinical case of a 5-month-old patient. VSP. 2024;3:188–196. (In Russ.)
9. Hosseini K, Fallahi J, Razban V, et al. Overview of clinical, molecular, and therapeutic features of Niemann-Pick disease (types A, B, and C): focus on therapeutic approaches. Cell Biochem Funct. 2024;42(4):e4028. https://doi.org/10.1002/cbf.4028
10. Sutay NR, Choudhary D, Samariya P, et al. NiemannPick disease type B-A case report. Journal of Medical Science and Clinical Research. 2017;5(4):19732–19736. https://dx.doi.org/10.18535/jmscr/v5i4.03
Review
For citations:
Bodrova O.V., Mashchenko I.A., Trufanov G.E., Kozlova P.V., Shatokhina M.G. Typical pathological changes in the internal organs of an adolescent patient with Niemann-Pick disease type B based on multimodal imaging findings. Russian Journal for Personalized Medicine. 2025;5(5):420-425. (In Russ.) https://doi.org/10.18705/2782-3806-2025-5-5-420-425
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