<p>A 15-year-old female presented with recurrent fever, hepatosplenomegaly, and pancytopenia. Bone marrow aspiration revealed numerous ‘sea-blue histiocytes’, raising suspicion for sea-blue histiocyte syndrome. Diagnosis was confirmed as Niemann-Pick disease based on the identification of a compound heterozygous mutation in the <i>SMPD1 </i>gene. This case highlights that the finding of sea-blue histiocytes in the marrow is a crucial clue for diagnosing Niemann-Pick disease, particularly type B.</p>

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Niemann-Pick Disease Mimicking Sea-Blue Histiocyte Syndrome: A Diagnostic Pitfall

  • Huang Huang,
  • Xuebing Qiu,
  • Cuihua Ma,
  • Hongwei Chen

摘要

A 15-year-old female presented with recurrent fever, hepatosplenomegaly, and pancytopenia. Bone marrow aspiration revealed numerous ‘sea-blue histiocytes’, raising suspicion for sea-blue histiocyte syndrome. Diagnosis was confirmed as Niemann-Pick disease based on the identification of a compound heterozygous mutation in the SMPD1 gene. This case highlights that the finding of sea-blue histiocytes in the marrow is a crucial clue for diagnosing Niemann-Pick disease, particularly type B.