{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,8]],"date-time":"2026-07-08T15:51:41Z","timestamp":1783525901237,"version":"3.55.0"},"reference-count":25,"publisher":"Wiley","issue":"1","license":[{"start":{"date-parts":[[2012,6,21]],"date-time":"2012-06-21T00:00:00Z","timestamp":1340236800000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["J of Inher Metab Disea"],"published-print":{"date-parts":[[2013,1]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Introduction<\/jats:title><jats:p>Niemann\u2010Pick disease (NPD) due to acid sphingomyelinase deficiency is a lipid storage disease resulting from the accumulation of sphingomyelin, predominantly within cells of the monocyte\u2010macrophage system. In contrast to other lysosomal storage disorders, skeletal involvement in NPD has not been systematically studied.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>Pediatric and adult NPD\u2010B patients underwent medical histories and physical examinations, DEXA scans to measure bone mineral content (BMC), and bone mineral density (BMD) and computed tomography scan or MRI of the abdomen for spleen volume. Z and\/or T scores were calculated for the DEXA results. For the pediatric patients adjusted mean BMC (g) and BMD (g\/cm<jats:sup>2<\/jats:sup>) of the lumbar spine, hip, and femoral neck was compared to control subjects. For determination of the relationship between spleen volume and lumbar spine BMD Z score, linear correlation analyses were performed.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Lumbar spine Z scores for pediatric patients ranged from 0.061 to \u20104.879. Statistically significant decreases were observed for the adjusted mean BMC and BMD at the lumbar spine, hip, and femoral neck between the pediatric NPD\u2010B cohort and control subjects. Most NPD\u2010B adults were osteopenic or osteoporotic at one or more sites according the WHO classification of BMD. In NPD\u2010B patients, the degree of splenomegaly was inversely correlated with lumbar spine BMD Z scores.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>Skeletal involvement is a common and previously unrecognized manifestation of NPD\u2010B. The association between splenomegaly and BMD lends further support to spleen size as an indicator of disease severity.<\/jats:p><\/jats:sec>","DOI":"10.1007\/s10545-012-9503-0","type":"journal-article","created":{"date-parts":[[2012,6,20]],"date-time":"2012-06-20T12:10:37Z","timestamp":1340194237000},"page":"123-127","source":"Crossref","is-referenced-by-count":47,"title":["Skeletal manifestations in pediatric and adult patients with Niemann Pick disease type B"],"prefix":"10.1002","volume":"36","author":[{"given":"Melissa","family":"Wasserstein","sequence":"first","affiliation":[{"name":"Department of Genetics and Genomic Sciences Mount Sinai School of Medicine New York NY 10029\u20106574 USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"James","family":"Godbold","sequence":"additional","affiliation":[{"name":"Department of Preventive Medicine Mount Sinai School of Medicine New York NY 10029\u20106574 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