Skip to main content

Disorders of Granulocyte Functions

  • Chapter
  • First Online:
Benign Hematologic Disorders in Children
  • 683 Accesses

Abstract

Functional phagocyte disorders occur due to intrinsic neutrophil defects resulting from abnormal granulocyte development, defects in phagocytosis, or defects in chemotaxis. Abnormal phagocytic function can also originate from external causes that lead to suppression of neutrophil functions. Phagocyte disorders generally manifest with increased susceptibility to bacterial and fungal infections, but not viral infections. Most patients present during infancy, although the diagnosis may sometimes be delayed until late childhood depending on the severity of the disorder and the availability of diagnostic tests. The key to the successful management of phagocyte disorders include early diagnosis and early initiation of antibiotic to prevent and treat infections. In some disorders, treatments such as prophylactic antibiotics, granulocyte colony-stimulating factor infusions, and hematopoietic cell transplantation maybe necessary.

This is a preview of subscription content, log in via an institution to check access.

Access this chapter

Chapter
USD 29.95
Price excludes VAT (USA)
  • Available as PDF
  • Read on any device
  • Instant download
  • Own it forever
eBook
USD 109.00
Price excludes VAT (USA)
  • Available as EPUB and PDF
  • Read on any device
  • Instant download
  • Own it forever
Softcover Book
USD 139.99
Price excludes VAT (USA)
  • Compact, lightweight edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info
Hardcover Book
USD 219.99
Price excludes VAT (USA)
  • Durable hardcover edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info

Tax calculation will be finalised at checkout

Purchases are for personal use only

Institutional subscriptions

Abbreviations

AD:

Autosomal dominant

AR:

Autosomal recessive

CGD:

Chronic granulomatous disease

CHS:

Chediak-Higashi syndrome

DOCK8:

Dedicator of cytokinesis 8

G-CSF:

Granulocyte colony-stimulating factor

HIES:

Hyperimmunoglobulin E syndrome, hyper IgE syndrome

HSCT:

Hematopoietic cell transplantation

LAD:

Leukocyte adhesion defect

PG:

Pyoderma gangrenosum

PGM3:

Phosphoglucomutase 3

SDS:

Shwachman-Diamond syndrome

SGD:

Specific granule deficiency

SLeX:

Sialyl Lewis X

Tyk2:

Tyrosine kinase 2

References

  1. Lanini LL, Prader S, Siler U, Reichenbach J. Modern management of phagocyte defects. Pediatr Allergy Immunol. 2017;28(2):124–34.

    Article  PubMed  Google Scholar 

  2. Dinauer MC. Disorders of neutrophil function: an overview. Methods Mol Biol. 2014;1124:501–15.

    Article  CAS  PubMed  Google Scholar 

  3. Bouma G, Ancliff PJ, Thrasher AJ, Burns SO. Recent advances in the understanding of genetic defects of neutrophil number and function. Br J Haematol. 2010;151(4):312–26.

    Article  CAS  PubMed  Google Scholar 

  4. Winkelstein JA, Marino MC, Johnston RB Jr, et al. Chronic granulomatous disease. Report on a national registry of 368 patients. Medicine (Baltimore). 2000;79(3):155–69.

    Article  CAS  Google Scholar 

  5. Jones LB, McGrogan P, Flood TJ, et al. Special article: chronic granulomatous disease in the United Kingdom and Ireland: a comprehensive national patient-based registry. Clin Exp Immunol. 2008;152(2):211–8.

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  6. Esfandbod M, Kabootari M. Images in clinical medicine. Chronic granulomatous disease. N Engl J Med. 2012;367(8):753.

    Article  PubMed  Google Scholar 

  7. Gungor T, Teira P, Slatter M, et al. Reduced-intensity conditioning and HLA-matched haemopoietic stem-cell transplantation in patients with chronic granulomatous disease: a prospective multicentre study. Lancet. 2014;383(9915):436–48.

    Article  CAS  PubMed  Google Scholar 

  8. Keller MD, Notarangelo LD, Malech HL. Future of care for patients with chronic granulomatous disease: gene therapy and targeted molecular medicine. J Pediatric Infect Dis Soc. 2018;7(suppl_1):S40–4.

    Article  PubMed  PubMed Central  Google Scholar 

  9. Richard B, Johnston J. Monocytes and macrophages, and dendritic cells. In: Kliegman RM, Jenson HB, Stanton BF, editors. Nelson textbook of pediatrics. 18th ed. Philadelphia: Saunders Elsevier; 2007. p. 899–901.

    Google Scholar 

  10. Almarza Novoa E, Kasbekar S, Thrasher AJ, et al. Leukocyte adhesion deficiency-I: a comprehensive review of all published cases. J Allergy Clin Immunol Pract. 2018;6(4):1418–1420.e1410.

    Article  PubMed  Google Scholar 

  11. Movahedi M, Entezari N, Pourpak Z, et al. Clinical and laboratory findings in Iranian patients with leukocyte adhesion deficiency (study of 15 cases). J Clin Immunol. 2007;27(3):302–7.

    Article  PubMed  Google Scholar 

  12. Levy-Mendelovich S, Rechavi E, Abuzaitoun O, et al. Highlighting the problematic reliance on CD18 for diagnosing leukocyte adhesion deficiency type 1. Immunol Res. 2016;64(2):476–82.

    Article  CAS  PubMed  Google Scholar 

  13. Lorusso F, Kong D, Jalil AK, Sylvestre C, Tan SL, Ao A. Preimplantation genetic diagnosis of leukocyte adhesion deficiency type I. Fertil Steril. 2006;85(2):494 e415–98.

    Article  Google Scholar 

  14. Bauer TR Jr, Allen JM, Hai M, et al. Successful treatment of canine leukocyte adhesion deficiency by foamy virus vectors. Nat Med. 2008;14(1):93–7.

    Article  CAS  PubMed  Google Scholar 

  15. Yakubenia S, Wild MK. Leukocyte adhesion deficiency II. Advances and open questions. FEBS J. 2006;273(19):4390–8.

    Article  CAS  PubMed  Google Scholar 

  16. Etzioni A, Gershoni-Baruch R, Pollack S, Shehadeh N. Leukocyte adhesion deficiency type II: long-term follow-up. J Allergy Clin Immunol. 1998;102(2):323–4.

    Article  CAS  PubMed  Google Scholar 

  17. Marquardt T, Luhn K, Srikrishna G, Freeze HH, Harms E, Vestweber D. Correction of leukocyte adhesion deficiency type II with oral fucose. Blood. 1999;94(12):3976–85.

    Article  CAS  PubMed  Google Scholar 

  18. Etzioni A, Tonetti M. Fucose supplementation in leukocyte adhesion deficiency type II. Blood. 2000;95(11):3641–3.

    Article  CAS  PubMed  Google Scholar 

  19. Svensson L, Howarth K, McDowall A, et al. Leukocyte adhesion deficiency-III is caused by mutations in KINDLIN3 affecting integrin activation. Nat Med. 2009;15(3):306–12.

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  20. Kilic SS, Etzioni A. The clinical spectrum of leukocyte adhesion deficiency (LAD) III due to defective CalDAG-GEF1. J Clin Immunol. 2009;29(1):117–22.

    Article  CAS  PubMed  Google Scholar 

  21. Kuijpers TW, van de Vijver E, Weterman MA, et al. LAD-1/variant syndrome is caused by mutations in FERMT3. Blood. 2009;113(19):4740–6.

    Article  CAS  PubMed  Google Scholar 

  22. Hill HR, Quie PG. Raised serum-IgE levels and defective neutrophil chemotaxis in three children with eczema and recurrent bacterial infections. Lancet. 1974;1(7850):183–7.

    Article  CAS  PubMed  Google Scholar 

  23. Renner ED, Rylaarsdam S, Anover-Sombke S, et al. Novel signal transducer and activator of transcription 3 (STAT3) mutations, reduced T(H)17 cell numbers, and variably defective STAT3 phosphorylation in hyper-IgE syndrome. J Allergy Clin Immunol. 2008;122(1):181–7.

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  24. Jiao H, Toth B, Erdos M, et al. Novel and recurrent STAT3 mutations in hyper-IgE syndrome patients from different ethnic groups. Mol Immunol. 2008;46(1):202–6.

    Article  CAS  PubMed  Google Scholar 

  25. Gernez Y, Freeman AF, Holland SM, et al. Autosomal dominant hyper-IgE syndrome in the USIDNET registry. J Allergy Clin Immunol Pract. 2018;6(3):996–1001.

    Article  PubMed  Google Scholar 

  26. Eberting CL, Davis J, Puck JM, Holland SM, Turner ML. Dermatitis and the newborn rash of hyper-IgE syndrome. Arch Dermatol. 2004;140(9):1119–25.

    Article  PubMed  Google Scholar 

  27. Chamlin SL, McCalmont TH, Cunningham BB, et al. Cutaneous manifestations of hyper-IgE syndrome in infants and children. J Pediatr. 2002;141(4):572–5.

    Article  PubMed  Google Scholar 

  28. Jaramillo D, Kim EE. Demonstration of a cold abscess by gallium-67 imaging in a patient with Job syndrome. AJR Am J Roentgenol. 1986;147(3):610–1.

    Article  CAS  PubMed  Google Scholar 

  29. Lui RC, Inculet RI. Job’s syndrome: a rare cause of recurrent lung abscess in childhood. Ann Thorac Surg. 1990;50(6):992–4.

    Article  CAS  PubMed  Google Scholar 

  30. Shamberger RC, Wohl ME, Perez-Atayde A, Hendren WH. Pneumatocele complicating hyperimmunoglobulin E syndrome (Job's syndrome). Ann Thorac Surg. 1992;54(6):1206–8.

    Article  CAS  PubMed  Google Scholar 

  31. Grimbacher B, Holland SM, Puck JM. Hyper-IgE syndromes. Immunol Rev. 2005;203:244–50.

    Article  CAS  PubMed  Google Scholar 

  32. Freeman AF, Davis J, Anderson VL, et al. Pneumocystis jiroveci infection in patients with hyper-immunoglobulin E syndrome. Pediatrics. 2006;118(4):e1271–5.

    Article  PubMed  Google Scholar 

  33. Melia E, Freeman AF, Shea YR, Hsu AP, Holland SM, Olivier KN. Pulmonary nontuberculous mycobacterial infections in hyper-IgE syndrome. J Allergy Clin Immunol. 2009;124(3):617–8.

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  34. Grimbacher B, Belohradsky BH, Holland SM. Immunoglobulin E in primary immunodeficiency diseases. Allergy. 2002;57(11):995–1007.

    Article  CAS  PubMed  Google Scholar 

  35. Buckley R. IgE disorders. In: Rich R, Fleisher T, Schwartz BD, Shearer WT, Strober W, editors. Clinical immunology: principles and practice, vol. 1. St. Louis: Mosby; 1996. p. 694–706.

    Google Scholar 

  36. Grimbacher B, Holland SM, Gallin JI, et al. Hyper-IgE syndrome with recurrent infections–an autosomal dominant multisystem disorder. N Engl J Med. 1999;340(9):692–702.

    Article  CAS  PubMed  Google Scholar 

  37. Patteri P, Serru A, Chessa ML, Loi M, Pinna A. Recurrent giant chalazia in hyperimmunoglobulin E (Job’s) syndrome. Int Ophthalmol. 2009;29(5):415–7.

    Article  PubMed  Google Scholar 

  38. Lee MW, Choi JH, Sung KJ, Moon KC, Koh JK. Extensive xanthelasma associated with anaplastic large cell lymphoma and hyperimmunoglobulin E syndrome. Int J Dermatol. 2003;42(12):944–6.

    Article  PubMed  Google Scholar 

  39. Arora V, Kim UR, Khazei HM, Kusagur S. Ophthalmic complications including retinal detachment in hyperimmunoglobulinemia E (Job’s) syndrome: case report and review of literature. Indian J Ophthalmol. 2009;57(5):385–6.

    Article  PubMed  PubMed Central  Google Scholar 

  40. Yavuz H, Chee R. A review on the vascular features of the hyperimmunoglobulin E syndrome. Clin Exp Immunol. 2010;159(3):238–44.

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  41. Brugnoni D, Franceschini F, Airo P, Cattaneo R. Discordance for systemic lupus erythematosus and hyper IgE syndrome in a pair of monozygotic twins. Br J Rheumatol. 1998;37(7):807–8.

    Article  CAS  PubMed  Google Scholar 

  42. Leonard GD, Posadas E, Herrmann PC, et al. Non-Hodgkin’s lymphoma in Job’s syndrome: a case report and literature review. Leuk Lymphoma. 2004;45(12):2521–5.

    Article  PubMed  Google Scholar 

  43. Kashef MA, Kashef S, Handjani F, Karimi M. Hodgkin lymphoma developing in a 4.5-year-old girl with hyper-IgE syndrome. Pediatr Hematol Oncol. 2006;23(1):59–63.

    Article  PubMed  Google Scholar 

  44. Engelhardt KR, McGhee S, Winkler S, et al. Large deletions and point mutations involving the dedicator of cytokinesis 8 (DOCK8) in the autosomal-recessive form of hyper-IgE syndrome. J Allergy Clin Immunol. 2009;124(6):1289–1302 e1284.

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  45. Minegishi Y, Saito M, Morio T, et al. Human tyrosine kinase 2 deficiency reveals its requisite roles in multiple cytokine signals involved in innate and acquired immunity. Immunity. 2006;25(5):745–55.

    Article  CAS  PubMed  Google Scholar 

  46. Sassi A, Lazaroski S, Wu G, et al. Hypomorphic homozygous mutations in phosphoglucomutase 3 (PGM3) impair immunity and increase serum IgE levels. J Allergy Clin Immunol. 2014;133(5):1410–9. 1419.e1411–1413

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  47. Zhang Q, Davis JC, Lamborn IT, et al. Combined immunodeficiency associated with DOCK8 mutations. N Engl J Med. 2009;361(21):2046–55.

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  48. Renner ED, Puck JM, Holland SM, et al. Autosomal recessive hyperimmunoglobulin E syndrome: a distinct disease entity. J Pediatr. 2004;144(1):93–9.

    Article  CAS  PubMed  Google Scholar 

  49. Zhang Q, Davis JC, Dove CG, Su HC. Genetic, clinical, and laboratory markers for DOCK8 immunodeficiency syndrome. Dis Markers. 2010;29(3–4):131–9.

    PubMed  Google Scholar 

  50. Chularojanamontri L, Wimoolchart S, Tuchinda P, Kulthanan K, Kiewjoy N. Role of omalizumab in a patient with hyper-IgE syndrome and review dermatologic manifestations. Asian Pac J Allergy Immunol. 2009;27(4):233–6.

    PubMed  Google Scholar 

  51. Yanagimachi M, Ohya T, Yokosuka T, et al. The potential and limits of hematopoietic stem cell transplantation for the treatment of autosomal dominant hyper-IgE syndrome. J Clin Immunol. 2016;36(5):511–6.

    Article  CAS  PubMed  Google Scholar 

  52. Wada T, Akagi T, Muraoka M, et al. A novel in-frame deletion in the leucine zipper domain of C/EBPepsilon leads to neutrophil-specific granule deficiency. J Immunol. 2015;195(1):80–6.

    Article  CAS  PubMed  Google Scholar 

  53. Goobie S, Popovic M, Morrison J, et al. Shwachman-diamond syndrome with exocrine pancreatic dysfunction and bone marrow failure maps to the centromeric region of chromosome 7. Am J Hum Genet. 2001;68(4):1048–54.

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  54. Ginzberg H, Shin J, Ellis L, et al. Shwachman syndrome: phenotypic manifestations of sibling sets and isolated cases in a large patient cohort are similar. J Pediatr. 1999;135(1):81–8.

    Article  CAS  PubMed  Google Scholar 

  55. Grinspan ZM, Pikora CA. Infections in patients with Shwachman-Diamond syndrome. Pediatr Infect Dis J. 2005;24(2):179–81.

    Article  PubMed  Google Scholar 

  56. Kaplan J, De Domenico I, Ward DM. Chediak-Higashi syndrome. Curr Opin Hematol. 2008;15(1):22–9.

    Article  CAS  PubMed  Google Scholar 

  57. Su WP, Davis MD, Weenig RH, Powell FC, Perry HO. Pyoderma gangrenosum: clinicopathologic correlation and proposed diagnostic criteria. Int J Dermatol. 2004;43(11):790–800.

    Article  PubMed  Google Scholar 

  58. Wolff K, Stingl G. Pyoderma gangrenosum. In: Freedberg IM, Eisen A, Wolff K, editors. Fitzpatrick’s dermatology in general medicine, vol. Vol 2. 5th ed. New York: McGraw-Hill; 1999. p. 2207–13.

    Google Scholar 

  59. Cohen PR, Kurzrock R. Sweet’s syndrome: a neutrophilic dermatosis classically associated with acute onset and fever. Clin Dermatol. 2000;18(3):265–82.

    Article  CAS  PubMed  Google Scholar 

  60. Cohen PR, Kurzrock R. Extracutaneous manifestations of Sweet’s syndrome: steroid-responsive culture-negative pulmonary lesions. Am Rev Respir Dis. 1992;146(1):269.

    Article  CAS  PubMed  Google Scholar 

  61. Araujo M. Localized juvenile periodontitis or localized aggressive periodontitis. J Mass Dent Soc. 2002;51(2):14–8.

    PubMed  Google Scholar 

  62. Silva TS, Lacerda PN, Rego FPA, Rego V. Papillon-Lefevre syndrome. An Bras Dermatol. 2018;93(5):771–2.

    Article  PubMed  PubMed Central  Google Scholar 

Download references

Author information

Authors and Affiliations

Authors

Corresponding author

Correspondence to Pavadee Poowuttikul .

Editor information

Editors and Affiliations

Rights and permissions

Reprints and permissions

Copyright information

© 2021 Springer Nature Switzerland AG

About this chapter

Check for updates. Verify currency and authenticity via CrossMark

Cite this chapter

Seth, D., Poowuttikul, P. (2021). Disorders of Granulocyte Functions. In: Kamat, D., Frei-Jones, M. (eds) Benign Hematologic Disorders in Children. Springer, Cham. https://doi.org/10.1007/978-3-030-49980-8_15

Download citation

  • DOI: https://doi.org/10.1007/978-3-030-49980-8_15

  • Published:

  • Publisher Name: Springer, Cham

  • Print ISBN: 978-3-030-49979-2

  • Online ISBN: 978-3-030-49980-8

  • eBook Packages: MedicineMedicine (R0)

Publish with us

Policies and ethics