Abstract:
:Chronic granulomatous disease (CGD) is a primary immunodeficiency caused by defects of nicotinamide adenine dinucleotide phosphate oxidase. Catalase-positive bacteria and fungi are phagocytosed, but persist within phagocytes, resulting in granulomatous inflammation. Although allogeneic hematopoietic stem cell transplantation (HSCT) is a curative treatment for CGD, HSCT sometimes leads to fatal outcomes related to the exacerbation of persistent infectious or post-infectious inflammatory diseases, particularly in adolescent and young adult patients with a history of recurrent infections and/or multiple granulomas in organs. Here, we present the case of a young adult with X-linked CGD in whom multiple lesions were found in lungs and lymph nodes on both computed tomography and positron emission tomography (PET) scans before allogeneic HSCT, but all the lesions disappeared only on PET scan 5 months after HSCT. Monitoring the activity of multiple pre-existing lesions with PET scan may be beneficial to adolescent and young adult CGD-patients undergoing allogeneic HSCT.
journal_name
J Clin Immunoljournal_title
Journal of clinical immunologyauthors
Shigemura T,Nakazawa Y,Hirabayashi K,Kobayashi N,Sakashita K,Agematsu K,Koike Kdoi
10.1007/s10875-014-0113-5subject
Has Abstractpub_date
2015-01-01 00:00:00pages
84-6issue
1eissn
0271-9142issn
1573-2592pii
10.1007/s10875-014-0113-5journal_volume
35pub_type
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更新日期:1991-11-01 00:00:00
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journal_title:Journal of clinical immunology
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pub_type: 临床试验,杂志文章,多中心研究
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