Inheritance Pattern and Clinical Aspects of 93 Iranian Patients with Chronic Granulomatous Disease

Fattahi, F., Badalzadeh, M., Sedighipour, L., Movahedi, M., Fazlollahi, M. R., Mansouri, S. D., Khotaei, G. T., Bemanian, M. H., Behmanesh, F., Hamidieh, A. A., Bazargan, N., Mamishi, S., Zandieh, F., Chavoshzadeh, Z., Mohammadzadeh, I., Mahdaviani, S. A., Tabatabaei, S. A., Kalantari, N., Tajik, S., Maddah, M., Pourpak, Z. & Moin, M., Oct-2011, In : Journal of Clinical Immunology. 31, 5, p. 792-801 10 p.

Research output: Contribution to journalArticleAcademicpeer-review

  • Fatemeh Fattahi
  • Mohsen Badalzadeh
  • Leyla Sedighipour
  • Masoud Movahedi
  • Mohammad Reza Fazlollahi
  • Seyed Davood Mansouri
  • Ghamar Taj Khotaei
  • Mohammad Hassan Bemanian
  • Fatemeh Behmanesh
  • Amir Ali Hamidieh
  • Nasrin Bazargan
  • Setareh Mamishi
  • Fariborz Zandieh
  • Zahra Chavoshzadeh
  • Iraj Mohammadzadeh
  • Seyed Alireza Mahdaviani
  • Seyed Ahmad Tabatabaei
  • Najmeddin Kalantari
  • Shaghayegh Tajik
  • Marzieh Maddah
  • Zahra Pourpak
  • Mostafa Moin

Chronic granulomatous disease (CGD) is a rare immunodeficiency due to a genetic defect in one of the NADPH-oxidase components. We studied CGD inheritance forms (autosomal recessive (AR) or X-linked (XL)) and AR-CGD subtypes in Iran.

Clinical and functional investigations were conducted in 93 Iranian CGD patients from 75 families.

Most of the patients were AR-CGD (87.1%). This was related to consanguineous marriages (p = 0.001). The age of onset of symptoms and diagnosis were lower in XL-CGD compared with AR-CGD (p <0.0001 for both). Among AR-CGD patients, p47phox defect was the predominant subtype (55.5%). The most common clinical features in patients were lymphadenopathy (65.6%) and pulmonary involvement (57%). XL-CGD patients were affected more frequently with severe infectious manifestations.

Although XL-CGD is the most common type of the disease worldwide, only 12 patients (12.9%) were XL-CGD in our study. The relatively high frequency of AR-CGD is probable due to widely common consanguineous marriages in Iran.

Original languageEnglish
Pages (from-to)792-801
Number of pages10
JournalJournal of Clinical Immunology
Issue number5
Publication statusPublished - Oct-2011


  • Autosomal recessive chronic granulomatous disease, X-linked chronic granulomatous disease, consanguinity, Iran, TERM-FOLLOW-UP, DIAGNOSIS, FAMILIES, GENETICS, FEATURES, REGISTRY, DIHYDRORHODAMINE-123, INFECTIONS, EXPERIENCE, JAPAN

ID: 5423634