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Published on: April 11, 2018
Cystic fibrosis in adults: diagnosis and management
1Department of Pediatrics, University of New Mexico School of Medicine, Albuquerque.
Insights
Cystic fibrosis (CF) is increasingly affecting adolescents and adults, requiring updated management strategies. This review covers complications, treatment approaches, and emerging research for older CF patients.
Area of Science:
- Pulmonology and Genetics
- Pediatrics and Adult Medicine
Background:
- Cystic fibrosis (CF) was historically viewed as a pediatric condition.
- Advances in treatment have led to increased survival, with a growing adult population.
Observation:
- CF complications like hemoptysis, pneumothorax, sinusitis, pancreatic deficiency, and intestinal obstruction are prevalent in older patients.
- Clinical evaluation, follow-up, and treatment require tailored approaches for adolescents and adults.
Findings:
- The review details common CF complications in older individuals.
- It provides practical guidance for clinicians managing adolescent and adult CF patients.
Implications:
- Highlights the evolving demographic of cystic fibrosis, necessitating specialized care for adults.
- Emphasizes the need for ongoing research into CF genetics, its basic defect, and advanced therapies like heart-lung transplantation.
Abstract:
Once regarded as a disease of infants and young children, cystic fibrosis now also must be considered a disease of adolescents and young adults. Disease complications and management, including hemoptysis, pneumothorax, sinusitis, pancreatic deficiency, and intestinal obstruction, are discussed in this review. In addition, a practical approach to the clinical evaluation, follow-up, and treatment of the older cystic fibrosis patient is presented for the physician who has not had extensive experience in managing these patients. Current research in identifying the CF gene, basic defect, and the use of heart-lung transplants is discussed.
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