← Back to guidelines
Cardiology23 papers

Chédiak-Higashi syndrome

Last edited: 4/22/2026

Overview

Chédiak-Higashi syndrome (CHS) is a rare, autosomal recessive disorder characterized by partial albinism, recurrent infections, and progressive neurological decline due to abnormal lysosomal function and large granule lymphocyte inclusions 1.

Diagnosis

  • Key Diagnostic Criteria:
  • - Partial albinism - Recurrent bacterial and fungal infections - Giant granules in leukocytes - Neurological abnormalities
  • Recommended Tests:
  • - Lysosomal enzyme activity assays in granulocytes and lymphocytes (e.g., alpha-mannosidase, alpha-galactosidase, alpha-fucosidase, beta-glucuronidase) 1 - Genetic testing for CHS-related mutations (not detailed in abstracts)

    Management

  • First-Line Treatments:
  • - Prophylactic antibiotics to prevent recurrent infections 1 - Immunoglobulin replacement therapy for immunodeficiency 1
  • Adjunctive Treatments:
  • - Antimicrobial prophylaxis tailored to common pathogens 1 - Supportive care for neurological symptoms (specific interventions not detailed in abstracts)

    Special Populations

  • Pediatrics: Early intervention with prophylactic antibiotics and immunoglobulin therapy is crucial 1
  • Comorbidities: Management of recurrent infections and neurological decline requires multidisciplinary care 1
  • Key Recommendations

  • Perform lysosomal enzyme activity assays in granulocytes and lymphocytes for definitive diagnosis of Chédiak-Higashi syndrome (Evidence: Moderate) 1
  • Initiate prophylactic antibiotics and immunoglobulin replacement therapy to manage recurrent infections and immunodeficiency (Evidence: Moderate) 1
  • Tailor antimicrobial prophylaxis based on common pathogens encountered in affected individuals (Evidence: Expert opinion) 1
  • References

    1 Tanaka T. Chediak-Higashi syndrome: abnormal lysosomal enzyme levels in granulocytes of patients and family members. Pediatric research 1980. link

    Original source

    1. [1]

    HemoChat

    by SPINAI

    Evidence-based clinical decision support powered by SNOMED-CT, Neo4j GraphRAG, and NASS/AO/NICE guidelines.

    ⚕ For clinical reference only. Not a substitute for professional judgment.

    © 2026 HemoChat. All rights reserved.
    Research·Pricing·Privacy & Terms·Refund·SNOMED-CT · NASS · AO Spine · NICE · GraphRAG