What happens in this disease?
In this disease, an enzyme system in the immune cells does not work. This system produces substances that kill germs. Because of this, the cells cannot kill certain bacteria and fungi. Clusters of inflammation called granulomas can also form in the body.
Which symptoms can occur?
Symptoms often begin in childhood. In some people, however, they appear later in life.
- Repeated severe bacterial and fungal infections (common)
- Lung infections such as pneumonia (common)
- Infections or abscesses (pockets of pus) in the skin, liver and lymph glands (common)
- Abdominal pain, diarrhea or bloody stools (sometimes)
- Nausea and vomiting (sometimes)
- Not gaining enough weight in children (sometimes)
- Severe lung infection after contact with rotting plants or soil (sometimes)
How is it diagnosed?
Repeated severe infections raise suspicion. Special blood tests measure the ability of white blood cells to kill germs. A genetic test shows which gene is affected.
Treatment and care
To prevent infections, regular preventive medicines are taken for life. These medicines act against bacteria and fungi. A stem cell transplant can provide a lasting cure; gene therapy is being researched. With preventive treatment, most people reach adulthood. The doctor who follows the disease decides which treatment is suitable.
For the family: inheritance and genetic counselling
The most common type is passed on through the X chromosome and mostly affects males. In the other types, one changed gene from the mother and one from the father are needed; girls and boys are equally affected. If the gene change in the family is known, genetic counselling can be provided.