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Cystic fibrosis

• Overview
• Symptoms
• Treatment
• Prevention

Treatment:

An early diagnosis of CF and a comprehensive treatment plan can improve both survival and quality of life. Specialty clinics for cystic fibrosis may be helpful and can be found in many communities.

Treatment includes:

• Antibiotics for respiratory infections.
• Pancreatic enzymes to replace those that are missing.
• Vitamin supplements, especially vitamins A, D, E, and K.
• Inhaled medicines to help open the airways.
• DNAse enzyme replacement therapy to thin the mucus and makes it easier to cough up.
• Pain relievers. Research has shown that the pain reliever ibuprofen may slow lung deterioration in some children with cystic fibrosis. The results were most dramatic in children ages 5 to 13.
• Postural drainage and chest percussion .
• Lung transplant may be considered in some cases.

Support Groups:

For additional information and resources, see cystic fibrosis support group .

Expectations (prognosis):

Disease registries now show that 40% of patients with cystic fibrosis are over age 18.

Today, the average life span for those who live to adulthood is approximately 35 years, a dramatic increase over the last three decades.

Death is usually caused by lung complications.

Complications:

The most common complications are chronic respiratory infections.

• Pneumonia, recurrent
• Pneumothorax
• Coughing up blood
• Chronic respiratory failure
• Cor pulmonale
• Liver disease
• Diabetes
• Osteoporosis and arthritis

Calling your health care provider:

Call your health care provider if symptoms develop that suggest an infant or child may have cystic fibrosis.

Call your health care provider if a person with cystic fibrosis develops new symptoms, particularly severe breathing difficulty or coughing up blood.

References:

US Food and Drug Administration. FDA Approves First DNA-based Test to Detect Cystic Fibrosis . Rockville, MD: National Press Office; May 16, 2005. Press Release P05-23.

• Review Date: 5/1/2007
• Reviewed By: Rachel A. Lewis, MD, FAAP, Columbia University Pediatric Faculty Practice, New York, NY. Review provided by VeriMed Healthcare Network.

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