Niemann-Pick disease: Sixteen-year follow-up of allogeneic bone marrow transplantation in a type B variant

S. Victor, J. B S Coulter, G. T N Besley, I. Ellis, R. J. Desnick, E. H. Schuchman, A. Vellodi

    Research output: Contribution to journalArticlepeer-review

    Abstract

    Allogenic bone marrow transplantation (BMT) was carried out on a 3-year-old white caucasian girl with Niemann-Pick disease (NPD) type B. The donor was her unaffected brother. The patient was neurologically normal at the time of transplantation. Engraftment was based on cytogenetic studies and increased leukocyte acid sphingomyelinase (ASM) activity. However, liver biopsies taken up to 33 months post transplantation showed only a moderate reduction in stored sphingomyelin and no significant increase in ASM activity. The post-transplantation period was complicated by severe graft-versus-host disease and a respiratory arrest. By 6 years of age, neurological involvement was observed, including bilateral cherry red spots. The proband is now severely mentally and physically disabled. Liver cirrhosis has continued to progress despite the BMT, and haematemesis due to portal hypertension occurred at 17 years of age. However, pulmonary infiltration regressed after BMT and there has been no clinical evidence of pulmonary insufficiency.
    Original languageEnglish
    Pages (from-to)775-785
    Number of pages10
    JournalJournal of Inherited Metabolic Disease
    Volume26
    Issue number8
    DOIs
    Publication statusPublished - 2003

    Keywords

    • Adolescent
    • Bone Marrow Transplantation
    • Female
    • Follow-Up Studies
    • etiology: Graft vs Host Disease
    • Growth
    • Humans
    • Mutation
    • complications: Niemann-Pick Diseases
    • Transplantation, Homologous

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