Chronic granulomatous disease
ICD-10 D71 · ICD-11 4A00.0Y

Treatment of CGD-Associated Colitis: Diarrhoea, Weight Loss, Failure to Thrive and Perianal Disease

Colitis is one of the most common significant inflammatory complications of chronic granulomatous disease. Its presentation can closely resemble other inflammatory bowel conditions, making accurate recognition critical for appropriate management.

Clinical Scenario

CGD-associated colitis may be misdiagnosed as Crohn's disease when diarrhoea, weight loss, failure to thrive, and perianal disease are the presenting features. Identifying the underlying CGD context is essential before initiating targeted treatment.

First-Line Treatment Approach

The goal is induction and maintenance of remission of colitis. Initial management involves a specific class of anti-inflammatory agents — the full regimen, drug selection, and dosing are detailed in the structured protocol.

Instant Access to Structured Evidence-Based Regimens
References
  1. Colitis is probably the most common significant inflammatory complication of CGD.
  2. A CGD associated colitis can be misdiagnosed as Crohn's disease where symptoms such as diarrhoea, weight loss, failure to thrive and perianal disease constitute the initial findings.
  3. 5-ASA agents (e.g. Sulphasalazine and Mesalazine) are useful first line agents in the treatment of CGD-colitis.
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