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Start free with EleplanChronic visceral acid sphingomyelinase deficiency
ORPHA:77293Disease
Also called Chronic visceral ASMD · NPD-B · Niemann-Pick disease type B
What it is
A rare autosomal recessive, chronic, acid sphingomyelinase deficiency characterized clinically by onset in childhood with hepatosplenomegaly, growth retardation, interstitial lung disease and absence of neurodegenerative disorders.
Key facts
- Prevalence
- 1-9 / 1 000 000 (at birth, Europe)
- Age of onset
- Childhood
- Inheritance
- Autosomal recessive
- Classified as
- Disease
Prevalence figures describe populations, not individuals, and are often estimates from a single study. Where the figure is an incidence or a birth prevalence, it says so.
Signs and symptoms
Common30–79%
20- Abnormal blood gas level
- Abnormal circulating lipid concentration
- Abnormal pulmonary interstitial morphology
- Cherry red spot of the macula
- Decreased HDL cholesterol concentration
- Decreased liver function
- Delayed puberty
- Delayed skeletal maturation
- Hepatomegaly
- Hyperlipidemia
- Hypersplenism
- Hypertriglyceridemia
- Increased LDL cholesterol concentration
- Interstitial pneumonitis
- Osteopenia
- Osteoporosis
- Progressive pulmonary function impairment
- Short stature
- Splenomegaly
- Thrombocytopenia
Sometimes5–29%
5These ranges are how often a sign appears across everyone diagnosed, not a prediction for one person — most people have some of these and not others. Orphanet also records findings that are specifically absent in this disease; those are in the data but not listed here.
Gene
ICD-10 codes
ICD-10 has no distinct code for most rare diseases, so many are filed under the nearest available one. A shared code identifies the group, not this disease — the ORPHAcode above is what identifies it.
Related health topics
Reached through the ICD-10 categories this disease is filed under, so these describe the broader group rather than this disease specifically.
Cross-references
Orphadata Science: Free access data from Orphanet. © INSERM 1999. Data version 2026-06-23. Available under CC BY 4.0. This is a reference, not medical advice.
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