Abstract
Chronic granulomatous disease (CGD) is an inherited disorder in which phagocytes, including polymorphonuclear neutrophils, are unable to generate oxygen-derived microbicidal compounds, among them superoxide [1]. Two main types of CGD are known, an X-linked form which is normally associated with the absence of cytochromeb 558, a component of the membrane-associated reduced nicotinamide adenine dinucleotide phosphate (NADPH) oxidase which generates superoxide and an autosomal recessive form, in which cytochromeb 558 is present, caused by the deficiency of a cytosolic factor required to activate NADPH oxidase [4]. Patients with the X-linked type are highly susceptible to infections; those with the autosomal recessive form may be less severely affected [10]. We report the unusual association of autosomal CGD with 18q- syndrome in a girl who developed terminal renal insufficiency caused by Henoch-Schönlein nephritis, and speculate on the possibility that the gene defect of autosomal recessive CGD may be located on chromosome 18.
Abbreviations
- CGD:
-
chronic granulomatous disease
- NADPH:
-
nicotinamide adenine dinucleotide phosphate, reduced
- NBT:
-
nitroblue tetrazolium test
- PMNs:
-
polymorphonuclear neutrophils
References
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Kimpen, J., Van Damme-Lombaerts, R., Van den Berghe, G. et al. Autosomal recessive chronic granulomatous disease associated with 18q- syndrome and end-stage renal failure due to Henoch-Schönlein nephritis. Eur J Pediatr 150, 325–326 (1991). https://doi.org/10.1007/BF01955932
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DOI: https://doi.org/10.1007/BF01955932