USMLE (Fach) / Immunology (Lektion)
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Chronic granulomatous disease
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Defect of NADPH oxidase → ↓ reactive oxygen species (eg, superoxide) and ↓ respiratory burst in neutrophils.
- X-linked form most common
- ↑ susceptibility to catalase ⊕ organisms (Nocardia, Pseudomonas, Listeria, Aspergillus, Candida, E coli, Staphylococci, Serratia)
Findings:- Abnormal dihydrorhodamine (flow cytometry) test (↓ green fluorescence)- Nitroblue tetrazolium dye reduction test fails to turn blue
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