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Cited by 687

The DOI matches its Crossref record; 37 of the 37 references it cites were found in a registry or an index.

Chronic Granulomatous Disease: The European Experience

Open access
van den Berg, J. Merlijn, van Koppen, Elsbeth, Åhlin, Anders, Belohradsky, Bernd H., Bernatowska, Ewa, Corbeel, Lucien, Español, Teresa, Fischer, Alain, Kurenko-Deptuch, Magdalena, Mouy, Richard, Petropoulou, Theoni, Roesler, Joachim, Seger, Reinhard, Stasia, Marie-José, Valerius, Niels H., Weening, Ron S., Wolach, Baruch, Roos, Dirk, Kuijpers, Taco W.·2009·PLoS ONE

Abstract

CGD is an immunodeficiency caused by deletions or mutations in genes that encode subunits of the leukocyte NADPH oxidase complex. Normally, assembly of the NADPH oxidase complex in phagosomes of certain phagocytic cells leads to a "respiratory burst", essential for the clearance of phagocytosed micro-organisms. CGD patients lack this mechanism, which leads to life-threatening infections and granuloma formation. However, a clear picture of the clinical course of CGD is hampered by its low prevalence (approximately 1:250,000). Therefore, extensive clinical data from 429 European patients were collected and analyzed. Of these patients 351 were males and 78 were females. X-linked (XL) CGD (gp91(phox) deficient) accounted for 67% of the cases, autosomal recessive (AR) inheritance for 33%. AR-CGD was diagnosed later in life, and the mean survival time was significantly better in AR patients (49.6 years) than in XL CGD (37.8 years), suggesting a milder disease course in AR patients. The disease manifested itself most frequently in the lungs (66% of patients), skin (53%), lymph nodes (50%), gastrointestinal tract (48%) and liver (32%). The most frequently cultured micro-organisms per episode were Staphylococcus aureus (30%), Aspergillus spp. (26%), and Salmonella spp. (16%). Surprisingly, Pseudomonas spp. (2%) and Burkholderia cepacia (<1%) were found only sporadically. Lesions induced by inoculation with BCG occurred in 8% of the patients. Only 71% of the patients received antibiotic maintenance therapy, and 53% antifungal prophylaxis. 33% were treated with gamma-interferon. 24 patients (6%) had received a stem cell transplantation. The most prominent reason of death was pneumonia and pulmonary abscess (18/84 cases), septicemia (16/84) and brain abscess (4/84). These data provide further insight in the clinical course of CGD in Europe and hopefully can help to increase awareness and optimize the treatment of these patients.

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Metadata

Authors
van den Berg, J. M., van Koppen, E., Åhlin, A., Belohradsky, B. H., Bernatowska, E., Corbeel, L., Español, T., Fischer, A., Kurenko-Deptuch, M., Mouy, R., Petropoulou, T., Roesler, J., Seger, R., Stasia, M.-J., Valerius, N. H., Weening, R. S., Wolach, B., Roos, D., & Kuijpers, T. W.
Venue
PLoS ONE
Published
2009-04-21
Volume
4
Issue
4
Pages
e5234
ISSN
1932-6203 (ISSN-L)
OpenAlex
W2129413349
Cited by
687
References
37
FWCI
15.78
Type
journal article
Language
en
Open access
gold

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CoChat. (2026). Citation check: Chronic Granulomatous Disease: The European Experience. https://app.cochat.ai/papers/10.1371/journal.pone.0005234
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van den Berg, J. M., van Koppen, E., Åhlin, A., Belohradsky, B. H., Bernatowska, E., Corbeel, L., Español, T., Fischer, A., Kurenko-Deptuch, M., Mouy, R., Petropoulou, T., Roesler, J., Seger, R., Stasia, M.-J., Valerius, N. H., Weening, R. S., Wolach, B., Roos, D., & Kuijpers, T. W. (2009). Chronic Granulomatous Disease: The European Experience. PLoS ONE. https://doi.org/10.1371/journal.pone.0005234

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