Case | 1 | 2 | 3 | 4 | 5 | 6 | 7 | |
Date of birth | 15.12.88 | 26.06.91 | 16.02.92 | 07.10.92 | 24.06.94 | 24.08.96 | 30.07.93 | |
Age of diagnosis | 18 months | 30 months | Birth | 10 months | 5 months | 26 months | Birth | |
Age of GI symptoms | 10 weeks, then at 3 years 10 months | 18 months, then again at 26 months | 3 years 7 months | 5 years | 5 months | 1 month | 13 months | |
Subunits of NADPH oxidase | gp91phox | gp91phox | gp91phox | p67phox | gp91phox | gp91phox | p47phox | |
Molecular defect | New mutation. Complete deletion of CYBB | Single amino acid substitution in CYBB gene (C400T) | 12 kilobase deletion in CYBB gene | Undetermined defect of NCF2 | Single amino acid substitution in CYBB gene (C880T) | Single amino acid substitution in CYBB gene (T436C) | Undetermined defect of NCF1 | |
NBT test | 0–0% | 0–0% | 0% | 1–2% | 0% | 0–0% | 0–0% | |
GI symptoms | FTT. Runny, sometimes bloody diarrhoea. Incontinence. Perianal abscess | Diarrhoea, oedema with hypoproteinemia. FTT, constipation | Mouths ulcers. Abdominal distension, pain, constipation. Anal fissure. Ascitis | Bloody diarrhoea with cramps | FTT, watery diarrhoea. Hepatosplenomegaly | FTT, vomiting, mouth ulcers. Hepatosplenomegaly | FTT, recurrent bloody diarrhoea. Skin tags | |
Anaemia | Yes, on iron p.o. | Yes, on iron p.o. | Yes, on iron p.o. | Yes, on iron p.o. | Yes, transfused | Yes | Yes, on iron p.o., transfused | |
ESR | 21 mm/h | 13 mm/h | 40 mm/h | 21 mm/h | 100 mm/h | 60 mm/h | Not done | |
FBC | Hb: 72 g/l | Hb: 73 g/l | Hb: 88 g/l | Hb: 75 g/l | Hb: 114 g/l | Hb: 71 g/l | Hb: 60 g/l | |
MCV: 63.9 fl | MCV: 68.6 fl | MCV: 64.3 fl | MCV: 78.5 fl | MCV: 75.3 fl | MCV: 67.3 fl | MCV: 70.9 fl | ||
Plt: 438'000 | Plt: 897'000 | Plt: 678'000 | Plt: 457'000 | Plt: 473'000 | Plt: 748'000 | Plt: 601'000 | ||
Height and weight | Ht: 3C | Ht: 25C | Ht: 10C | Ht: 50–75C | Ht: 25–50C | Ht: 3C | Ht: <3C | |
Wt: 25–50C | Wt: 50C | Wt: 25C | Wt: 25–50C | Wt: <3C | Wt: 25–50C | Wt: 3C | ||
Treatment | Sulphasalazine, Septrin, itraconazole | Sulphasalazine, prednisolone, itraconazole, Septrin | Sulphasalazine, itraconazole, Septrin | Azathioprine, prednisolone, sulphasalazine, ciprofloxacin, metronidazole, itraconazole, Septrin | Mesalazine, itraconazole, Septrin, isoniazid, rifampicin, overnight feeds | Vancomycine, ciprofloxacin, metronidazole, Septrin, itraconazole | Metronidazole, ciprofloxacin, cyclosporine A, Septrin, itraconazole |
FTT, failure to thrive; ESR, erythrocyte sedimentation rate; FBC, full blood count; MCV, mean cell volume; Plt, platelets; C, centile.