Lymph nodes - not lymphoma
Primary immunodeficiency disorders
Chronic granulomatous disease

Author: William D. DePond, M.D. (see Authors page)

Revised: 29 June 2018, last major update July 2013

Copyright: (c) 2003-2018,, Inc.

PubMed Search: Chronic granulomatous disease [title] lymph nodes

Cite this page: DePond, W. D. Chronic granulomatous disease. website. Accessed July 20th, 2018.
Definition / general
  • Due to congenital enzymatic defect of NADPH oxidase in granulocytes and monocytes
  • White blood cells cannot generate superoxide ion which kills microorganisms in lysosomes
  • Either Y linked or autosomal recessive
  • Diagnose with nitro blue tetrazolium test (almost always positive)
  • Clinically, patients have recurrent lymphadenitis, hepatosplenomegaly, skin rash, pulmonary edema
  • Anemia, leukocytosis, hypergammaglobulinemia
Case reports
Microscopic (histologic) description
  • Granulomas with central necrosis in lymph nodes and other organs
  • Pigment laden histiocytes
Microscopic (histologic) images

Images hosted on PathOut server:
Missing Image

Childhood disease,
AFB stain -
contributed by
Dr. Mark R. Wick

Missing Image

Childhood disease -
contributed by
Dr. Mark R. Wick

Missing Image

Childhood disease,
PAS stain -
contributed by
Dr. Mark R. Wick

Cytology description
Electron microscopy description