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- W2581083221 abstract "Chronic granulomatous disease (CGD) is a rare inherited deficiency of the innate immune system caused by mutations of one of five genes encoding the subunits of the phagocyte NADPH oxidase (phox) complex. The phox deficiencies result in defective production of reactive oxygen species leading to impaired microbial killing and excessive inflammation. CGD is thus characterized by severe recurrent bacterial and fungal infections as well as hyperinflammatory complications (most prominent in the pulmonary, gastrointestinal, and urinary tracts). Diagnostic clinical tests for CGD rely on measurement of defective superoxide O 2 − production. After verification, the disease-causing mutation should be determined in every CGD patient. Carrier testing for at-risk relatives, prenatal testing for pregnancies at risk, and prognostication then become possible. Conventional management of CGD is based on antimicrobial prophylaxis, prolonged treatment of bacterial and fungal infections after appropriate imaging and pathogen identification, and cautious use of corticosteroids for inflammatory complications. Allogeneic hemopoietic stem cell transplantation (allo-HSCT) with an HLA-matched donor is the only known cure for CGD and is indicated early in life in patients with no residual O 2 − production (preferably after reduced-intensity conditioning). Experimental studies of stem cell gene therapy for X-linked CGD are ongoing as salvage treatment when allo-HSCT is strongly indicated, but a suitable donor cannot be found." @default.
- W2581083221 created "2017-02-03" @default.
- W2581083221 creator A5081973009 @default.
- W2581083221 date "2016-01-01" @default.
- W2581083221 modified "2023-09-23" @default.
- W2581083221 title "Chronic Granulomatous Disease" @default.
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