By Disease Name > Chronic Granulomatous Disease

Chronic Granulomatous Disease

Top  Previous  Next
•often X-linked recessive therefore most patients are men
•pathogenesis – group of heterogeneous disorders that share an inability to produce respiratory burst
•(mnemonic – because you can’t produce the acute respiratory burst,  you end up with chronic granulomatous lesions – in skin, lungs, etc…) ???)
•diagnosis – NBT reduction assay: leukocytes unable to reduce dye – no blue color change
•ddx – Hyper IgE, SCID, Chediak-Higashi
•infections – recurrent pyoderma (staph); pneumonia with abscesses, empyema
•prognosis – depending on control of infections; most with normal life span but poor quality of life
•treatment – prophylactic antibiotics;  leukocyte transfusions;  bone-marrow transplant