Research Article

Clinical Features and Genetic Analysis of 48 Patients with Chronic Granulomatous Disease in a Single Center Study from Shanghai, China (2005–2015): New Studies and a Literature Review

Table 1

Clinical characteristics of 48 CGD patients in this study.

Pts/
sex
Year of diagnosisFamily
history
Onset
age
(mo)
Diagnosis age
(mo)
Status-age
(death cause)
Type of infectionsBCG diseaseSI
LungSkinDigestive systemLymphadenitisSepticopyemiaOther symptomsRegionalDistantDisseminated
PneumoniaTBPustular eruptionSkin
abscess
Perianal abscessDiarrheaLiver abscess

P1/M2015036Dead-3 y
(severe pneumonia)
++++UTI, HSM++ND
P2/M2010224Alive-9 yLeft renal abscess,
left hydronephrosis, hypospadias
ND
P3/M201317Dead-1 y
(TB)
++ASD, PDA++18
P4/M2014317Alive-3 y+++++Mild anemia, eczema, EBV infection, eosinophilia, otitis media+1.27
P5/M2013312Alive-5 y+++++Moderate anemia, skin granulomas, HSMND
P6/M2012072Alive-11 y+++++HSM, thrush++2.95
P7/M2014248Alive-7 y+++Recurrent URI, HSM+4.57
P8/M2005072Alive-17 y++++HSM+++ND
P9/M201327Alive-3 y+PFOND
P10/M2010+23.5Alive-7 y++Mild anemia, eczema, Kawasaki disease,
Thrush, ventricular septal defect
1.41
P11/M2014024Alive-4 y+++Vitamin K deficiency++ND
P12/M2015136Alive-4 y++HSM+ND
P13/M20070.9336Dead-4 y
(osteomyelitis)
++Osteomyelitis, urticaria, eczema,
thrush
+0.76
P14/M2011236Alive-9 y++Orbital cellulitis, dacryocystitis,
skin granulomas, otitis media, HSM
++0.96
P15/M2012624Alive-7 y++Moderate anemia,
recurrent URI, thrush
3
P16/M201513Alive-1 y+++HSMNANANAND
P17/F2015348Alive-5 y++AR, MS, AH, AN, moderate anemia, EBV infection24.64
P18/M20150.671Alive-1 y++Severe malnutrition, myocardial injury, NH, purulent meningitis, HMNANANAND
P19/M201436Alive-3 y+++Mild anemia, HSM+0
P20/M2012+02Alive-4 y++++ASD, HSMND
P21/M2014318Alive-4 y++++HSM, recurrent URI++0
P22/M2011+110Alive-6 y+++Testicular abscess, otitis media, thrush
recurrent URI, HM
0.86
P23/M2011+12Dead-1 y
(septicopyemia)
++++HM0.94
P24/M2012218Alive-6 y+++Hydrocele, heart failure, PFO, thrush+ND
P25/M2009+24Dead-1 y
(septicopyemia)
+HSM0.77
P26/M2008+0.331Alive-9 y++++HSM, mild anemia++0.74
P27/M2009+0.12Alive-8 y++Eczema, brain edema, encephalitis, HM1.59
P28/M201124180Alive-20 y+++++Behçet's disease, thrush++ND
P29/M201316Dead-0.5 y
(septicopyemia)
+++++HSM, mild anemia+2.73
P30/M2008+0.673Dead-0.5 y
(infections after HSCT)
++HSM1.99
P31/M2009224Alive-9 y+++++Renal cyst,
mild anemia,
skin granulomas, HSM
+0
P32/M20130.51Alive-3 y++4.25
P33/M2010+3132Dead-13 y
(severe pneumonia)
++Eczema, thrush++0.72
P34/M2015+048Alive-6 y++Hypokalemia++3
P35/M2012NA0.076.63Dead-1 y
(liver abscess)
++++HM++2.75
P36/M20072460Dead-6 y
(NEC)
+++++HM, recurrent URI, thrush16.70
P37/M201448Alive-2 y+HSM, CHD,
recurrent URI
NANANAND
P38/M2013312Alive-4 y+++++HSM, moderate anemia, Kawasaki disease, otitis media24.67
P39/F2010+024Alive-8 y+HM, eczema, liver function damage+3.62
P40/M20114248Alive-9 y+Eczema1.83
P41/F20140.676Alive-3 y++Skin granulomas,
splenic abscess
6.15
P42/M2014+360Alive-7 y+++Mild anemia, tonsillar enlargement, BO, thrush++ND
P43/M200511.5Alive-11 y++4.27
P44/M2011224Alive-7 y+5.43
P45/F20110.40.83Alive-5 y+Omphalitis2.62
P46/M2007+0.512Alive-10 y+++++HM+1.99
P47/M200735Dead-1 y
(severe pneumonia)
++HSM, eczema,
umbilical hernia
+40.15
P48/M20090.672Alive-7 y+Thrush0.94

Pts: patients; mo: month; TB: tuberculosis; BCG: Bacille Calmette-Guerin; UTI: urinary tract infection; ASD: atrial septal defect; PDA: patent ductus arteriosus; EBV: Epstein-Barr virus; PFO: patent foramen ovale; URI: upper respiratory infection; AR: allergic rhinitis; MS: maxillary sinusitis; AH: adenoid hypertrophy; AN: acanthosis nigricans; NH: neonatal hyperbilirubinemia; CHD: congenital heart disease; BO: bronchiolitis obliterans; HGM: hepatosplenomegaly; HM: hepatomegaly; NEC: necrotic enterocolitis; ND: not determined; NA: not available; SI: stimulation index.
Besides the DHR assay, P37 also did 2 times of nitroblue tetrazolium (NBT) tests, and both of the results were 0%.