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Table 1 Classification of signs and symptoms in NP-C

From: Niemann-Pick disease type C symptomatology: an expert-based clinical description

Visceral

 
 

Isolated unexplained splenomegaly

 

Hepatomegaly/Splenomegaly

 

Prolonged neonatal cholestatic jaundice

 

Hydrops foetalis or foetal ascites

 

Pneumopathologies (aspiration pneumonia, alveolar lipidosis, interstitial lung involvement)

 

Mild thrombocytopenia

Neurological

 
 

Vertical supranuclear gaze palsy

 

Gelastic cataplexy

 

Ataxia

 

Dystonia

 

Dysarthria

 

Dysphagia

 

Hypotonia

 

Clumsiness

 

Delayed developmental milestones

 

Seizures

 

Hearing loss

Psychiatric

 
 

Developmental delay and pre-senile cognitive decline

 

Organic psychosis

 

Disruptive/aggressive behaviour

 

Progressive development of treatment-resistant psychiatric symptoms

  1. Abbreviation: NP-C, Niemann-Pick disease type C.