PHAGOCYTIC DEFICIENCIES
DISEASE IMMUNE-SYSTEM DEFICIENCY POSSIBLE MECHANISM
Congenital agranulocytosis Decreased neutrophil count Decreased production of G-CSF
Leukocyte-adhesion
deficiency (LAD)
Failure of neutrophils and
monocytes to extravasate

Defective CTL killing

Defective T-cell help in
B-cell activation
Defective synthesis of b chain
of integrin adhesion molecules
Lazy-leukocyte syndrome Decreased neutrophil chemotaxis Not known
Chronic granulomatous
disease (CGD)
Defective killing by neutrophils
of phagocytosed bacteria
Decreased H2O2 production due
to defective NADPH oxidase
(cytochrome b)