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Pathology
Abnormal viscosity of mucus produced at the epithelial surfaces causing recurrent infections and bronchiectasis in lungs
Patients also have pancreatic insufficiency amongst other secretory problems
Aetiology
Autosomal recessive defect in the cystic fibrosis transmembrane conductance regulator (CFTR) gene located on the long arm of chromosome 7.
CFTR controls chloride channel behavior causing defective chloride secretion and increased sodium absorption altering the composition of mucus secretions
Signs
As those with bronchiectasis, usually presenting in the first years of life, malnourishment, males are infertile due to the absence of the vas deferens
Symptoms
As those of bronchiectasis , failure to thrive, and steatorrhoea secondary to pancreatic insufficiency
Investigations
Sweat test to look for excess sweat sodium, DNA analysis, Chest X-Ray, CT Thorax and pulmonary function tests
Treatment
Physiotherapy for sputum clearance, nutrition and supplemental pancreatic enzymes
Antibiotics, mucolytics, nebulised antibiotics, lung/heart-lung transplants
Prognosis
Median survival is around 40 years
Recurrent infections, respiratory failure
Key Facts
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Key References
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