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Living with Niemann-Pick disease, type B

An inherited fat-processing condition that usually shows up in the pre-teen years, affecting the liver, spleen, and lungs.

Understanding Niemann-Pick disease, type B

Niemann-Pick disease, type B is an inherited condition of fat metabolism that causes fats to build up in the spleen, liver, lungs, bone marrow, and brain.

Also called chronic visceral acid sphingomyelinase deficiency. Signs usually develop in the pre-teen years. They can include an enlarged liver and spleen, short stature, lung problems with frequent lung infections, and a low platelet count (thrombocytopenia). GARD lists childhood as the usual onset.

Signs & symptoms

Symptoms vary from person to person. GARD lists these among the most common:

  • Enlarged liver and spleen
  • Short stature
  • Lung function problems that worsen over time
  • Low platelet count (thrombocytopenia)
  • Delayed puberty
  • Thin, weak bones (osteopenia, osteoporosis)

Not everyone has every symptom. GARD's list comes from the Human Phenotype Ontology.

Diagnosis

  1. Talk with your doctor

    Share the symptoms you've noticed, when they started and your family health history. Notes and photos can help.

  2. See a specialist

    Specialists who may be involved include brain and nervous system specialists, digestive system specialists, genetic specialists and hormone specialists.

  3. Consider genetic testing

    Changes in SMPD1 are linked to this condition. Genetic testing and counseling can help confirm a diagnosis and explain what it means for your family.

  4. Connect with expert centers

    National Niemann-Pick Disease Foundation, Inc. and The Foundation for Peripheral Neuropathy may keep lists of experts for this condition.

Care & treatment

Care team
Brain and nervous system specialists (neurologists); Digestive system specialists (gastroenterologists); Genetic specialists (geneticists); Hormone specialists (endocrinologists)
Expert care
Expert lists: National Niemann-Pick Disease Foundation, Inc., The Foundation for Peripheral Neuropathy
Treatment
GARD doesn't list specific treatments for this condition. Your care team will tailor care to your symptoms.
Research
Clinical trials and observational studies may be options. See the research section below.

General information, not medical advice. Your care team makes the decisions.

Everyday life

Living with a rare condition is easier with support.

  • Connect with National Niemann-Pick Disease Foundation, Inc. and other patient organizations
  • Keep notes on symptoms, changes and questions for appointments
  • Ask about patient registries that help research
  • Look into financial aid and travel resources for care visits
Bring these questions to your next doctor visit
How often should lung function and liver and spleen size be checked?
What can be done about the low platelet count?
Would SMPD1 genetic testing help my relatives?

Quick facts

Symptoms usually startChild
InheritanceAutosomal Recessive
GenesSMPD1

Changes in the SMPD1 gene cause this condition. It is inherited in an autosomal recessive way, meaning a child inherits a changed copy of the gene from each parent.

GeneticRespiratoryNeurologicalEndocrineGastrointestinalInherited MetabolicLysosomal Storage

Also known as: chronic visceral acid sphingomyelinase deficiency; chronic visceral asmd; niemann-pick disease non-neuropathic type; niemann-pick disease type b; niemann-pick disease, chronic non-neuronopathic; npd-b

Patient organizations

Source: NIH GARD · Niemann-Pick disease, type BGARD ID 10729 · GARD page updated September 2026 · Plain-language summary by Know Rare; editorial review pending. General information, not medical advice.

You are more than your diagnosis

Perspectives from people navigating life with Niemann-Pick disease, type B.

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