What type of storage disease is Niemann-Pick disease classified as?

Study for the USMLE Step 2 CK Exam. Prepare with flashcards and multiple choice questions, each question has hints and explanations. Get ready for your exam!

Niemann-Pick disease is classified as a lysosomal storage disorder primarily because it results from a deficiency in one of the enzymes required for lipid metabolism within lysosomes. Specifically, this condition is caused by a deficiency of sphingomyelinase, which leads to the accumulation of sphingomyelin in various tissues, particularly affecting the liver, spleen, and nervous system.

These types of disorders typically arise when lysosomal enzymes that break down complex molecules are absent or malfunctioning, leading to a buildup of substances that the body cannot properly degrade. In Niemann-Pick disease, this disruption in lipid metabolism manifests through symptoms such as hepatosplenomegaly, neurological decline, and other systemic complications.

Thus, the classification as a lysosomal storage disorder is accurate based on the underlying biochemical defect and the resultant cellular accumulations characteristic of the disease. Other options, such as mitochondrial disorders, endocrine disorders, and neurodegenerative disorders, do not encompass the specific enzymatic deficiencies and accumulations seen in Niemann-Pick disease.

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