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Updated: Jul 18, 2026

Implementation of Non-invasive Point of Care Transient Elastography for Evaluation of Liver Disease in Pediatric Populations with Cystic Fibrosis
Published on: August 29, 2025
Cystic fibrosis presenting with haematological abnormalities
C C Minasian1, S Sriskandan, I M Balfour-Lynn
1Department of Paediatric Respiratory Medicine, Imperial College and Royal Brompton Hospital, Sydney Street, London, UK. c.minasian@rbht.nhs.uk
Atypical cystic fibrosis (CF) can delay diagnosis and treatment. This study highlights rare cases where children with CF presented with hematological abnormalities, leading to delayed diagnosis.
Area of Science:
- Pediatric Hematology
- Pulmonology
- Genetics
Background:
- Cystic Fibrosis (CF) is a common genetic disorder.
- Early diagnosis and treatment are crucial for managing CF.
- Atypical presentations can lead to diagnostic delays.
Observation:
- Three pediatric cases of CF with unusual hematological abnormalities are presented.
- These children exhibited symptoms not typically associated with CF.
- Extensive and invasive investigations were performed before CF diagnosis.
Findings:
- Hematological abnormalities can be an atypical presenting sign of Cystic Fibrosis in children.
- Delayed diagnosis in these cases resulted from non-classical symptoms.
- Recognizing these rare presentations is key to timely intervention.
Implications:
- Clinicians should consider CF in the differential diagnosis of unexplained hematological abnormalities in children.
- Awareness of atypical CF presentations can improve diagnostic timelines.
- Prompt diagnosis of CF, regardless of presentation, improves patient outcomes.
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