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chronic granulomatous disease
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antibodies, cgd, chronic granulomatous disease, inherited abnormality of certain cells, the immune system that, kill bacteria, phagocytic cells, recurrent infection by certain types of bacteria, chronic granulomatous disease, cgd, transmitted 50-60%, the time, a recessive sex-linked trait, that the condition is more likely to affect males than females, the defective gene, carried on the x chromosome, females have two x chromosomes, one x chromosome has the defective gene, second x chromosome, working copy, the gene to compensate, a female inherits the defective gene from both parents, in this disease, inability of phagocytic cells to kill certain bacteria, fungi leads to long term, chronic, repeated, recurrent, infections, discovered, in the first years of life, milder forms, appear in adolescence, adulthood, impetigo, skin abscesses, furuncles, perianal, rectal abscesses, common, recurrent pneumonia, significant problem, bacteria not typically found in most pneumonias, chronic swelling, the lymph nodes, in the neck, abscess formation is common, risk factors, family history of recurrent, chronic infections, incidence of chronic granulomatous disease, million, swollen lymph nodes, in the neck that develop early in life, persist, occur frequently, abscess formation, in the lymph nodes, the neck that, surgical drainage, frequent, difficult-to-clear skin infections, chronic infection inside the nose, impetigo, abscesses, furuncles, impetiginized eczema, eczema complicated, an infection, perianal abscess, pneumonia, occurs frequently, difficult to clear, persistent diarrhea, bone infections, joint infections, physical examination, an enlarged liver, hepatomegaly, enlarged spleen, splenomegaly, swelling of multiple lymph nodes all over the body, generalized adenopathy, signs of osteomyelitis, appear, affecting multiple bones, tissue samples obtained, biopsy, granulomas, tests, nitroblue tetrazolium test, nbt to confirm the disease, detect carrier state, in the mother, chemiluminescence assay to confirm the disease, cbc, esr, chest x-ray, bone scan, liver scan, acute infections, treated vigorously, appropriate antibiotics, preventive, prophylactic, antibiotics, to be taken on a daily basis to try to decrease the frequency of infection, abscesses form, aggressively treated by a surgeon, interferon-gamma, in reducing the number of severe infections, prolonged antibiotic therapy, help to reduce infections, premature death is typically a result of repeated pulmonary infections, chronic pneumonia, lung tissue damage, bone damage, skin damage, have chronic granulomatous disease, suspect, pneumonia, infection in another part, recurrent pneumonia, recalcitrant skin infections, a problem, genetic counseling, prospective parents, a family history of chronic granulomatous disease, advances in genetic screening, increasing use of chorionic villus sampling have made early recognition of chronic granulomatous disease feasible, the practice is not yet widespread, fully accepted, carrier status, in the female, identified by testing.
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