Cystic Fibrosis: Causes and Manifestations

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Questions and Answers

Which initial manifestations may indicate cystic fibrosis in newborns?

  • Recurrent respiratory infections and infertility
  • Chronic respiratory infections and pulmonary exacerbations
  • Meconium ileus and failure to thrive (correct)
  • Symptoms of malabsorption and pulmonary colonization with bacteria

What is the cause of cystic fibrosis?

  • CFTR dysfunction in the exocrine pancreas
  • Mutations in the CFTR gene (correct)
  • Chronic respiratory infections
  • Defective mucociliary clearance

What is the first diagnostic study for suspected cystic fibrosis?

  • Sweat test (correct)
  • CFTR physiologic testing
  • Pulmonary function test
  • Genetic testing

How does cystic fibrosis affect the respiratory tract?

<p>Defective Cl- channels result in thickened bronchial mucus and impaired mucociliary clearance (B)</p> Signup and view all the answers

What can CFTR dysfunction in the exocrine pancreas and biliary tract lead to?

<p>CF-related liver disease (CFLD) and CF-related diabetes (CFRD) (A)</p> Signup and view all the answers

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Study Notes

Initial Manifestations of Cystic Fibrosis in Newborns

  • Meconium ileus, a blockage of the small intestine in newborns, is a common initial manifestation of cystic fibrosis
  • Failure to pass meconium within the first 24-48 hours of life
  • DIOS (distal intestinal obstruction syndrome) may also be present

Cause of Cystic Fibrosis

  • Cystic fibrosis is caused by mutations in the cystic fibrosis transmembrane conductance regulator (CFTR) gene
  • These mutations disrupt the function of the CFTR protein, leading to impaired chloride transport and thickened mucus production

Diagnostic Studies for Suspected Cystic Fibrosis

  • Sweat chloride test is the first diagnostic study for suspected cystic fibrosis
  • A sweat chloride level >60 mmol/L is indicative of cystic fibrosis

Respiratory Tract Effects of Cystic Fibrosis

  • CFTR dysfunction in the respiratory tract leads to thickened, sticky mucus production
  • This causes airway obstruction, chronic lung disease, and increase risk of respiratory infections

Effects of CFTR Dysfunction on the Exocrine Pancreas and Biliary Tract

  • CFTR dysfunction in the exocrine pancreas and biliary tract leads to malabsorption of nutrients and fatty liver disease

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