Is it cystic fibrosis? The challenges of diagnosing cystic fibrosis.


Journal

Paediatric respiratory reviews
ISSN: 1526-0550
Titre abrégé: Paediatr Respir Rev
Pays: England
ID NLM: 100898941

Informations de publication

Date de publication:
Aug 2019
Historique:
received: 20 02 2019
accepted: 20 02 2019
pubmed: 11 4 2019
medline: 27 2 2020
entrez: 11 4 2019
Statut: ppublish

Résumé

The spectrum of conditions caused by abnormal CFTR function is broad - from 'classic' cystic fibrosis (CF) to single organ conditions termed CFTR-related disorders. Defining and securing the diagnosis in an important minority of patients can be a challenge as the sweat test is equivocal or normal; the impact this has on the patient (at different stages of their life) can be very significant as it has the potential to lead to misdiagnosis and over (or under) treatment with associated psychological burden. The nasal potential difference test and intestinal current measurements are physiological measurements of CFTR function and thus can provide important diagnostic information. This article provides an overview of the latest developments in CF diagnostics, outlining the approach to be taken when the diagnosis is unclear and some of the areas of uncertainty.

Identifiants

pubmed: 30967347
pii: S1526-0542(19)30018-1
doi: 10.1016/j.prrv.2019.02.004
pii:
doi:

Substances chimiques

CFTR protein, human 0
Chlorides 0
Cystic Fibrosis Transmembrane Conductance Regulator 126880-72-6

Types de publication

Journal Article Review

Langues

eng

Sous-ensembles de citation

IM

Pagination

6-8

Informations de copyright

Copyright © 2019 Elsevier Ltd. All rights reserved.

Auteurs

N J Simmonds (NJ)

Adult Cystic Fibrosis Centre, Royal Brompton Hospital and Imperial College, London SW3 6NP, United Kingdom. Electronic address: n.simmonds@imperial.ac.uk.

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Classifications MeSH