Chronic Granulomatous Disease
(CGD; Fatal Granulomatosis of Childhood; Chronic Granulomatous Disease of Childhood; Progressive Septic Granulomatosis)
Chronic granulomatous disease occurs when a specific gene from both parents passes to the child. This gene causes phagocytic
cells to develop
in the immune system. Phagocytic cells normally kill bacteria. With this disease, these cells cannot work properly. As a result, the body can not fight some types of bacteria. It also makes infections likely to return.
CGD is a rare condition.
The disease is caused by one of four genes. Three of the genetic defects are recessive. This means two of these defective genes have to be present for the disease to develop—one from each parent. The other gene is located on the X chromosome. It is transmitted from mother to son.
The following factors increase your chance of developing CGD:
- Parents who have the recessive trait
- Sex: male
Typically, symptoms begin to appear in childhood. In some, they may not appear until the teen years.
- Swollen lymph nodes in the neck
Frequent skin infections that are resistant to treatment, such as:
- Bone pain
- Joint pain
|Bacterial Skin Infection
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You will be asked about your symptoms and medical history. A physical exam will be done.
You may have your bodily fluids and tissues tested. This can be done with:
- Blood tests
Images may be taken of your bodily structures. This can be done with:
Talk with your doctor about the best plan for you. Treatment options include:
You doctor may prescribe antibiotics to prevent and treat infections.
Bone Marrow Transplantation
Bone marrow transplantation may be an option. A suitable donor will need to be found. It is a definitive cure.
Surgery may involve the removal of abscesses.
Some live viral vaccines should be avoided. You should talk to your doctor before receiving one.
CGD is an inherited disease. There are no preventive steps to reduce the risk of being born with the disease. Genetic counseling may be helpful. It can be used to detect carrier status in woman. Early diagnosis is vital. It will allow for early treatment. The bone marrow transplant donor search can also be started.
Genetics Home Reference
National Organization of Rare Disorders
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infection in a patient with chronic granulomatous disease.
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Chronic granulomatous disease. EBSCO DynaMed website. Available at:
http://www.ebscohost.com/dynamed. Updated May 2, 2014. Accessed May 29, 2014.
Chronic granulomatous disease. Genetics Home Reference website. Available at:
http://ghr.nlm.nih.gov/condition/chronic-granulomatous-disease. Updated August 2012. Accessed May 26, 2014.
Chronic granulomatous disease and other phagocytic cell disorders.
Immune Deficiency Foundation website. Available at:
http://primaryimmune.org/about-primary-immunodeficiencies/specific-disease-types/chronic-granulomatous-disease-and-other-phagocytic-cell-disorders/. Accessed May 29, 2014.
Dinauer MC, Lekstrom-Himes JA, Dale DC. Inherited Neutrophil Disorders: Molecular Basis and New Therapies.
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N Engl J Med. 2000; 343:1703.
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Ann Thorac Surg. 1993;55(4):844-849.