CC BY-NC-ND 4.0 · Journal of Health and Allied Sciences NU 2012; 02(04): 65-70
DOI: 10.1055/s-0040-1703617
Case Report

CYSTIC FIBROSIS IN AN ADULT – A RARE CASE – DIAGNOSED AND CONFIRMED BY A NEW, NOVEL, INDIGENOUS TECHNIQUE

Raghava Sharma
1   Professor, Dept. of Medicine, K.S. Hegde Medical Academy, Mangalore - 575 018
,
Raghu Raj
2   Assistant professor, Dept. of Radiology, K.S. Hegde Medical Academy, Mangalore - 575 018
,
Sukanya Shetty
3   Professor and head, Dept. of Bio Chemistry, K.S. Hegde Medical Academy, Mangalore - 575018
› Author Affiliations

Abstract

Cystic fibrosis (CF) is an important autosomal recessive disorder caused due to genetic mutation thus affecting the chloride channel. It involves multiple systems particularly lungs, respiratory tract and gastro intestinal tract. It is mainly considered as a disease of pediatric population. However it is being reported from adult population, more frequently from the western countries due to better survival.

CF is reported very rarely from India and report of adult CF is much more rarer. Conformation of CF is by HRCT (High resolution computerized tomography), gene mutation analysis and sweat chloride estimation. However sweat chloride test presently being employed (called pilocarpine iontophoresis ) is costly, very complicated and is not available even in most advanced centers in India.

Our case highlights the need for a high index of suspicion for suspecting CF in adults with chronic respiratory symptoms, and the need for a cost effective, easily available, reproducible, standardized test technique for sweat chloride estimation.

Here with we present a case of CF (cystic fibrosis) in an adult male of 23 years whose diagnosis was confirmed by a new novel indigenous technique of Sweat chloride estimation.



Publication History

Article published online:
29 April 2020

© .

Thieme Medical and Scientific Publishers Private Ltd.
A-12, Second Floor, Sector -2, NOIDA -201301, India

 
  • References

  • 1 Wilmot RW. Making the diagnosis of cystic fibrosis. J pediatrics 1998;132:563-5.
  • 2 Ashavaid TF, Dherai AJ, Kondkar AA, et al. Molecular diagnosis of cystic fibrosis in Indian patients-a preliminary report. J Assoc physicians India 2003;51:345-8.
  • 3 William B Guggino. Cystic fibrosis and the salt controversy. Cell 1999;96:607-10.
  • 4 ON Bhakoo, Rajkumar, BNS Walia. Mucoviscidosis of the lung. Indian journal of pediatrics 1968; 35:183-185.
  • 5 Stern RC. The diagnosis of cystic fibrosis. New England journal of Medicine 1997;336:487-491.