Cystic Fibrosis Flashcards
● aka Mucoviscidosis
● An inherited disorder of the exocrine gland (Ex: sweat gland, pancreas)
Cystic Fibrosis
Cystic Fibrosis Manifestation
○ Glands produced abnormally thick secretion
○ Sweat electrolytes are elevated
○ Saliva- there is increased organic and enzymatic constituents
○ Muco-secreting organ - respiratory system
○ Overactivity of autonomic nervous system
Defective gene- Cystic fibrosis transmembranous conductance regulator gene; located on
chromosome 7
Cystic fibrosis transmembranous conductance regulator protein
Defective protein
Usually recognized in infancy or early childhood
Cystic fibrosis
Cystic fibrosis Affected organs:
pancreas, respiratory system, sweat glands, salivary glands
Cystic fibrosis Signs:
Chronic Cough
Frequent foul smelling stool
Persistent Upper Respiratory Tract (URT) Infection
overproduction of mucus
Chronic Cough
due to high organic and enzymatic constituents of saliva, change in the activity of pancreas
Frequent foul smelling stool
mucus traps bacteria → multiplication
Persistent Upper Respiratory Tract (URT) Infection
Cystic fibrosis Test requirements:
48 hrs of age (newborns), without rashes, cuts, or skin inflammation where sweat can be collected
Diagnostic test: Sweat test
○ Measurement of sweat electrolytes (sodium and chloride) using
coulometric principle
Diagnostic test: Sweat test
○ Sweat sample must be collected within
30 minutes
Diagnostic test: Sweat test
○ Sweat must be more than
50 mg of sample
Reference method
○ Gibson and Cooke Pilocarpine Iontophoresis
○ (+) Result: >65 mmol/L of sweat
electrolytes (5-40 mmol/L *Normal range)