We're unable to sign you in at this time. Please try again in a few minutes.
We were able to sign you in, but your subscription(s) could not be found. Please try again in a few minutes.
There may be a problem with your account. Please contact the AMA Service Center to resolve this issue.
Contact the AMA Service Center:
Telephone: 1 (800) 262-2350 or 1 (312) 670-7827  *   Email: subscriptions@jamanetwork.com
Error Message ......
Article |

Unusual Manifestations of Chronic Granulomatous Disease

Am J Dis Child. 1981;135(4):376-377. doi:10.1001/archpedi.1981.02130280066023.
Text Size: A A A
Published online

Chronic granulomatous disease (CGD) is usually a sex-linked recessive disorder characterized by recurrent purulent infections of the skin and lymph nodes. Affected granulocytes form diminished quantities of superoxide1 and can ingest but not kill catalase-positive bacteria.2 Granulocytes from patients with CGD fail to reduce nitroblue tetrazolium (NBT) to blue formazin,3 a defect that forms the basis of tests to identify affected patients and carriers. We describe two children with CGD who had unusual symptoms in order to emphasize the variability of initial signs associated with the disease. Earlier diagnosis coupled with aggressive therapy may improve the outcome in such cases.

Report of Cases.—Case 1.—An 8-month-old boy was hospitalized in 1974 for evaluation of fever of one month's duration. The child was well until 6.5 months of age when right lower—lobe pneumonia developed. He was referred to The Children's Hospital of Philadelphia because of continued high


Sign in

Purchase Options

• Buy this article
• Subscribe to the journal

First Page Preview

View Large
First page PDF preview





Also Meets CME requirements for:
Browse CME for all U.S. States
Accreditation Information
The American Medical Association is accredited by the Accreditation Council for Continuing Medical Education to provide continuing medical education for physicians. The AMA designates this journal-based CME activity for a maximum of 1 AMA PRA Category 1 CreditTM per course. Physicians should claim only the credit commensurate with the extent of their participation in the activity. Physicians who complete the CME course and score at least 80% correct on the quiz are eligible for AMA PRA Category 1 CreditTM.
Note: You must get at least of the answers correct to pass this quiz.
Please click the checkbox indicating that you have read the full article in order to submit your answers.
Your answers have been saved for later.
You have not filled in all the answers to complete this quiz
The following questions were not answered:
Sorry, you have unsuccessfully completed this CME quiz with a score of
The following questions were not answered correctly:
Commitment to Change (optional):
Indicate what change(s) you will implement in your practice, if any, based on this CME course.
Your quiz results:
The filled radio buttons indicate your responses. The preferred responses are highlighted
For CME Course: A Proposed Model for Initial Assessment and Management of Acute Heart Failure Syndromes
Indicate what changes(s) you will implement in your practice, if any, based on this CME course.
Submit a Comment


Some tools below are only available to our subscribers or users with an online account.

Sign in

Purchase Options

• Buy this article
• Subscribe to the journal

Related Content

Customize your page view by dragging & repositioning the boxes below.