ePrints

Special Article: Chronic granulomatous disease in the United Kingdom and Ireland: A comprehensive national patient-based registry

Lookup NU author(s): Dr Laura Jones, Dr Paraic McGrogan, Dr Terence Flood, Professor Andrew GenneryORCiD, Professor Louise Parker, Professor Andrew Cant

Downloads

Full text for this publication is not currently held within this repository. Alternative links are provided below where available.

Abstract

There are no epidemiological studies from the British Isles of chronic granulomatous disease, characterized by recurrent, life-threatening bacterial and fungal infections and inflammatory sequelae. Patients were enrolled in a national registry and medical records were analysed. Of 94 subjects, 69 had X-linked disease, 16 had autosomal recessive disease and nine were unknown. Prevalence was 7.5/million for 1990-99 and 8.5/million for 1980-89. Suppurative adenitis, abscesses and pneumonia presented commonly. Twenty-three of 30 patients who underwent high resolution computerized tomography had chronic respiratory disease. Inflammatory sequelae included bowel stricture and urogenital tract granulomata. Growth failure was common; 75% of those measured were below the population mean. All patients received prophylactic antibiotics and 93% anti-fungal prophylaxis. Interferon gamma was used to treat infection, but rarely as prophylaxis. Despite prophylaxis, estimated survival was 88% at 10 years but 55% at age 30 years. Morbidity remains significant, severe infectious complications common. Curative treatments including stem cell transplantation should be considered for patients with frequent or serious complications. © 2008 The Author(s).

Publication metadata

Author(s): Jones LBKR, McGrogan P, Flood TJ, Gennery AR, Morton L, Thrasher A, Goldblatt D, Parker L, Cant AJ

Publication type: Article

Publication status: Published

Journal: Clinical and Experimental Immunology

Year: 2008

Volume: 152

Issue: 2

Pages: 211-218

Print publication date: 01/05/2008

ISSN (print): 0009-9104

ISSN (electronic): 1365-2249

Publisher: Wiley-Blackwell Publishing Ltd.

URL: http://dx.doi.org/10.1111/j.1365-2249.2008.03644.x

DOI: 10.1111/j.1365-2249.2008.03644.x

PubMed id: 18410635

Altmetrics

Share