Table 4.

Other Conditions in the Differential Diagnosis of Chronic Granulomatous Disease

DisorderClinical CharacteristicsComment
Allergic bronchopulmonary aspergillosis (ABPA)Pulmonary hypersensitivity reaction to Aspergillus fumigatus & other molds; most commonly seen in asthmatics & persons w/cystic fibrosisDiagnosis of ABPA is based on history, ↑ serum concentration of IgE, blood eosinophilia, immediate skin reactivity to Aspergillus fumigatus antigens, presence of precipitating serum antibodies to Aspergillus fumigatus, & specific imaging results, none of which are characteristic of CGD. 1
Crohn diseaseMay present w/weight loss, abdominal pain, diarrhea, & colitisSignificant colitis → bowel obstruction, fistulae, & strictures can occur in persons w/CGD & can be an important cause of growth restriction. 2

CGD = chronic granulomatous disease

1.
2.

From: Chronic Granulomatous Disease

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