What Is CF: Family History. Because Cystic Fibrosis Is An Inherited Disorder, It Runs in
What Is CF: Family History. Because Cystic Fibrosis Is An Inherited Disorder, It Runs in
What Is CF: Family History. Because Cystic Fibrosis Is An Inherited Disorder, It Runs in
Cystic fibrosis is an inherited disorder that causes severe damage to the lungs,
digestive system and other organs in the body.
Cystic fibrosis affects the cells that produce mucus, sweat and digestive juices.
A defective gene causes the secretions to become sticky and thick. Instead of acting
as a lubricant, the secretions plug up tubes, ducts and passageways, especially in
the lungs and pancreas.
Causes
In cystic fibrosis, a defect (mutation) in the CFTR gene changes a protein that
regulates the movement of salt in and out of cells.
The result is thick, sticky mucus in the respiratory, digestive and reproductive
systems, as well as increased salt in sweat.
Many different defects can occur in the gene. The type of gene mutation is
associated with the severity of the condition.
Children need to inherit one copy of the gene from each parent in order to have the
disease.
If children inherit only one copy, they won't develop cystic fibrosis. However, they will
be carriers and possibly pass the gene to their own children.
Risk factor
The age at diagnosis varies widely, however, as do the clinical presentation, severity
of symptoms, and rate of disease progression in the organs involved.
Neonates may present with meconium ileus or, rarely, with other features such as
anasarca.
Patients younger than 1 year may present with wheezing, coughing, and/or recurring
respiratory infections and pneumonia.
Approximately 10% of patients with cystic fibrosis remain pancreatic sufficient; these
patients tend to have a milder course.
Treatment
There is no cure for cystic fibrosis, but treatment can ease symptoms and reduce
complications.
Mucus-thinning drugs to help you cough up the mucus, which can improve
lung function
Inhaled medications called bronchodilators that can help keep your airways
open by relaxing the muscles around your bronchial tubes
References
2. Goldman L, et al., eds. Cystic fibrosis. In: Goldman-Cecil Medicine. 25th ed.
Philadelphia, Pa.: Saunders Elsevier; 2016.
3. Kliegman RM, et al. Cystic fibrosis. In: Nelson Textbook of Pediatrics. 20th ed.
Philadelphia, Pa.: Elsevier; 2016.
5. LeGrys VA, Yankaskas JR, Quittell LM, Marshall BC, Mogayzel PJ Jr.
Diagnostic sweat testing: the Cystic Fibrosis Foundation guidelines. J Pediatr.
2007