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Cystic Fibrosis and CFTR-related Disorder with Electrolyte Imbalance at Diagnosis: Clinical Features and Outcome in an Italian Cohort

Overview
Journal Eur J Pediatr
Specialty Pediatrics
Date 2023 Sep 19
PMID 37725210
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Abstract

Conclusions:  Most CF patients presenting with isolated HMA have a mild course of disease and rarely CF-related complications.

What Is Known: • Isolated episode of hypoelectrolytemia with metabolic alkalosis is a well-known onset symptom of Cystic Fibrosis in infancy. • There is limited information available on the clinical data and outcomes of individuals with Cystic Fibrosis who present with electrolyte imbalance at diagnosis.

What Is New: • Most patients with Cystic Fibrosis presenting with isolated hypoelectrolytemia and metabolic alkalosis have a mild course of disease and rarely CF-related complications. • Electrolyte imbalance at diagnosis of Cystic Fibrosis is a common symptom in children not screened for CF at birth, or in those who received a false negative result from newborn screening.

References
1.
Bell S, Mall M, Gutierrez H, Macek M, Madge S, Davies J . The future of cystic fibrosis care: a global perspective. Lancet Respir Med. 2019; 8(1):65-124. PMC: 8862661. DOI: 10.1016/S2213-2600(19)30337-6. View

2.
Shamsuddin A, Quinton P . Concurrent absorption and secretion of airway surface liquids and bicarbonate secretion in human bronchioles. Am J Physiol Lung Cell Mol Physiol. 2019; 316(5):L953-L960. PMC: 6589593. DOI: 10.1152/ajplung.00545.2018. View

3.
Bombieri C, Claustres M, De Boeck K, Derichs N, Dodge J, Girodon E . Recommendations for the classification of diseases as CFTR-related disorders. J Cyst Fibros. 2011; 10 Suppl 2:S86-102. DOI: 10.1016/S1569-1993(11)60014-3. View

4.
Castellani C, De Boeck K, De Wachter E, Sermet-Gaudelus I, Simmonds N, Southern K . ECFS standards of care on CFTR-related disorders: Updated diagnostic criteria. J Cyst Fibros. 2022; 21(6):908-921. DOI: 10.1016/j.jcf.2022.09.011. View

5.
Salvatore D, DellEdera D, Colangelo C, Smaldore G . Salt depletion syndrome as the initial presentation of cystic fibrosis in a toddler with the rare p.Ala309Gly (A309G) CFTR variant. Clin Genet. 2016; 90(2):186-7. DOI: 10.1111/cge.12733. View