SummaryA three year-eight month old Japanese girl with NiemannPick disease type B was reported. She was short in stature. There was a hepatosplenomegaly and an abnormality on the chest X-ray. Bone marrow aspiration smear showed typical Niemann-Pick cells.Sphingomyelinase activities of the leucocytes and liver were assayed. The enzyme activities of both leucocytes and liver were profoundly low and the parents had leucocyte enzyme activities between the patient's and controls'.Electronmicroscopy of the biopsied liver and lymphnodes from the patient revealed numerous cytoplasmic inclusion bodies.