Libyan Boy with Autosomal Recessive Trait (P22-phox Defect) of Chronic Granulomatous Disease

Chronic granulomatous disease (CGD) is a primary immune deficiency disorder of the phagocytes. In this disorder, phagocytic cells (polymorphonuclear leukocytes and monocytes) cannot produce active oxygen metabolites, and therefore, cannot destroy the ingested intracellular bacteria. Clinically, pati...

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Main Authors: Ilka Schulze, Salem Zaroog, El-Hassan Dawi, Abdulhamid Al-Tubuly, Ahmed Al-Bousafy
Format: Article
Language:English
Published: Taylor & Francis Group 2006-09-01
Series:Libyan Journal of Medicine
Subjects:
Online Access:http://www.ljm.org.ly/articles/dec06/AOP060905.pdf
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author Ilka Schulze
Salem Zaroog
El-Hassan Dawi
Abdulhamid Al-Tubuly
Ahmed Al-Bousafy
author_facet Ilka Schulze
Salem Zaroog
El-Hassan Dawi
Abdulhamid Al-Tubuly
Ahmed Al-Bousafy
author_sort Ilka Schulze
collection DOAJ
description Chronic granulomatous disease (CGD) is a primary immune deficiency disorder of the phagocytes. In this disorder, phagocytic cells (polymorphonuclear leukocytes and monocytes) cannot produce active oxygen metabolites, and therefore, cannot destroy the ingested intracellular bacteria. Clinically, patients with CGD usually have recurrent bacterial and fungal infections causing abscess and granuloma formation in the skin, lymph nodes and visceral organs.In this report, we present a boy from Libya with a rare autosomal recessive trait of CGD (defect of p22-phox) who has chronic lung disease following multiple severe pneumonia attacks. The case we present suffered from bloody diarrhea since the third month of his life. He also had recurrent episodes of fever, and later, developed persistent cervical lymphadenitis and failure to gain weight. CGD is a very rare condition worldwide. It is also not recognized here in Libya, and usually not in the list of differential diagnosis for chronic pulmonary infections. We advise that pediatricians and general practitioners who treat chronic cases of lung diseases (with or without chronic diarrhea) should consider primary immunodeficiency disorders in the hope that early diagnosis and treatment may prevent chronic complications especially of the respiratory tract. Furthermore, we state that, to the best of our knowledge, this is the first documented case of CGD from Libya.
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spelling doaj.art-52d49410580c48938b849304792f187e2022-12-21T23:32:55ZengTaylor & Francis GroupLibyan Journal of Medicine1819-63572006-09-0112AOP: 060905Libyan Boy with Autosomal Recessive Trait (P22-phox Defect) of Chronic Granulomatous DiseaseIlka SchulzeSalem ZaroogEl-Hassan DawiAbdulhamid Al-TubulyAhmed Al-BousafyChronic granulomatous disease (CGD) is a primary immune deficiency disorder of the phagocytes. In this disorder, phagocytic cells (polymorphonuclear leukocytes and monocytes) cannot produce active oxygen metabolites, and therefore, cannot destroy the ingested intracellular bacteria. Clinically, patients with CGD usually have recurrent bacterial and fungal infections causing abscess and granuloma formation in the skin, lymph nodes and visceral organs.In this report, we present a boy from Libya with a rare autosomal recessive trait of CGD (defect of p22-phox) who has chronic lung disease following multiple severe pneumonia attacks. The case we present suffered from bloody diarrhea since the third month of his life. He also had recurrent episodes of fever, and later, developed persistent cervical lymphadenitis and failure to gain weight. CGD is a very rare condition worldwide. It is also not recognized here in Libya, and usually not in the list of differential diagnosis for chronic pulmonary infections. We advise that pediatricians and general practitioners who treat chronic cases of lung diseases (with or without chronic diarrhea) should consider primary immunodeficiency disorders in the hope that early diagnosis and treatment may prevent chronic complications especially of the respiratory tract. Furthermore, we state that, to the best of our knowledge, this is the first documented case of CGD from Libya.http://www.ljm.org.ly/articles/dec06/AOP060905.pdfPhagocytesPrimary Immune deficiencyChronic Granulomatous DiseaseCGDP22-phox
spellingShingle Ilka Schulze
Salem Zaroog
El-Hassan Dawi
Abdulhamid Al-Tubuly
Ahmed Al-Bousafy
Libyan Boy with Autosomal Recessive Trait (P22-phox Defect) of Chronic Granulomatous Disease
Libyan Journal of Medicine
Phagocytes
Primary Immune deficiency
Chronic Granulomatous Disease
CGD
P22-phox
title Libyan Boy with Autosomal Recessive Trait (P22-phox Defect) of Chronic Granulomatous Disease
title_full Libyan Boy with Autosomal Recessive Trait (P22-phox Defect) of Chronic Granulomatous Disease
title_fullStr Libyan Boy with Autosomal Recessive Trait (P22-phox Defect) of Chronic Granulomatous Disease
title_full_unstemmed Libyan Boy with Autosomal Recessive Trait (P22-phox Defect) of Chronic Granulomatous Disease
title_short Libyan Boy with Autosomal Recessive Trait (P22-phox Defect) of Chronic Granulomatous Disease
title_sort libyan boy with autosomal recessive trait p22 phox defect of chronic granulomatous disease
topic Phagocytes
Primary Immune deficiency
Chronic Granulomatous Disease
CGD
P22-phox
url http://www.ljm.org.ly/articles/dec06/AOP060905.pdf
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