title: Acid sphingomyelinase deficiency: cardiac dysfunction and characteristic findings of the coronary arteries.
abstract: Two sisters with type B Niemann-Pick disease (genotype: S436R/S436R) showed cardiac dysfunctions, not secondary to pulmonary disease, at the beginning of the third decade. In the younger sister, myocardial dysfunction was refractory to treatment, resulting in death. At autopsy, the distal branches of the coronary arteries showed narrowing of the arterial lumina due to swelling of the medial and intimal smooth-muscle cells. This is the first report describing characteristic findings of coronary arteries in type B Niemann-Pick disease.
authors.affiliation: Department of Pediatrics, Akita University School of Medicine, Hondo 1-1-1, Akita-shi, Akita, 010-8543, Japan.
authors.forename: H
authors.initials: H
authors.lastname: Ishii
authors.forename: T
authors.initials: T
authors.lastname: Takahashi
authors.forename: M
authors.initials: M
authors.lastname: Toyono
authors.forename: M
authors.initials: M
authors.lastname: Tamura
authors.forename: K
authors.initials: K
authors.lastname: Harada
authors.forename: M
authors.initials: M
authors.lastname: Yoshida
authors.forename: Y
authors.initials: Y
authors.lastname: Nishikawa
authors.forename: K
authors.initials: K
authors.lastname: Enomoto
authors.forename: G
authors.initials: G
authors.lastname: Takada
mesh_terms: D000328:Adult; D001344:Autopsy; D009202:Cardiomyopathies / Q000473:pathology; D003331:Coronary Vessels / Q000473:pathology*; D016757:Death, Sudden, Cardiac; D005192:Family Health; D017809:Fatal Outcome; D005260:Female; D005838:Genotype; D006801:Humans; D009542:Niemann-Pick Diseases / Q000175:diagnosis* / Q000235:genetics*; D013108:Sphingomyelin Phosphodiesterase / Q000172:deficiency*
chemical_list: D013108:Sphingomyelin Phosphodiesterase