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Table 3 Classification of patients with ASMD

From: Consensus clinical management guidelines for acid sphingomyelinase deficiency (Niemann–Pick disease types A, B and A/B)

 

Acute neurovisceral, ASMD type-A

Chronic neurovisceral, ASMD type-A/B

Chronic visceral; ASMD type-B

Hepatosplenomegaly

+

+

+

Proatherogenic lipid profile

+

+

+

Delayed growth and puberty

N/A

+

+

Thrombocytopenia

+

+

+

Interstitial lung disease

+

+

+

Skeletal involvement

+

+

+

Liver disease

+

+

+

Cherry red macula

+

Some patients

Some patients

Hypotonia

+

Some patient

Absent

Neurodegeneration

Rapidly progressive

Slowly progressive

Absent