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Fibrosis quística en el adulto: experiencia de un centro de referencia nacional / Cystic fibrosis in adults: experience of a national reference center
Fernández, Patricia; Labarca, Gonzalo.
  • Fernández, Patricia; Instituto Nacional del Tórax. Santiago. CL
  • Labarca, Gonzalo; Universidad del Desarrollo/Clínica Alemana de Santiago. Facultad de Medicina. Santiago. CL
Rev. méd. Chile ; 140(7): 841-846, jul. 2012. ilus
Article in Spanish | LILACS | ID: lil-656353
ABSTRACT

Background:

Although in most patients the diagnosis of cystic fibrosis (CF) is made during their first years of life, a proportion of patients is diagnosed during adulthood.

Aim:

To describe the features of adult patients diagnosed with CF. Materials and

Methods:

Analysis of medical records of patients diagnosed with CF in a public hospital devoted to respiratory diseases. Demographic, clinical, laboratory and microbiological data were recorded.

Results:

Fifty eight patients aged 25.4 ± 6.5 years were included. In 40% of them, CF was diagnosed after 15 years of age. The most common mutation found was AF508. Among clinical characteristics, lung involvement, mainly bronchiectasis, was found in 93%. The mean forced expiratory volume in the first second (FEV,) was 65,7 ± 27,1%. Fifteen patients were colonized with Pseudomonas aeruginosa. The main complication seen was hemoptysis, in 12% of patients. Five patients died, mostly due to respiratory distress associated with sepsis, while three were subjected to bilateral lung transplantation. Patients in whom the diagnosis of CF was made after 15 years of age, had lower frequency of AF508 mutation, were most commonly women and had a lower rate of pancreatic involvement.

Conclusions:

CF is a disease that is increasingly reaching adult population. CF must be suspected in adolescents and young adults who suffer chronic lung diseases such as bronchiectasis, particularly when they are colonized by Pseudomonas aeruginosa, or in patients who develop infections by uncommon organisms.
Subject(s)


Full text: Available Index: LILACS (Americas) Main subject: Respiratory Tract Diseases / Cystic Fibrosis Type of study: Observational study / Risk factors Limits: Adolescent / Adult / Female / Humans / Male Country/Region as subject: South America / Chile Language: Spanish Journal: Rev. méd. Chile Journal subject: Medicine Year: 2012 Type: Article Affiliation country: Chile Institution/Affiliation country: Instituto Nacional del Tórax/CL / Clínica Alemana de Santiago+CL

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Full text: Available Index: LILACS (Americas) Main subject: Respiratory Tract Diseases / Cystic Fibrosis Type of study: Observational study / Risk factors Limits: Adolescent / Adult / Female / Humans / Male Country/Region as subject: South America / Chile Language: Spanish Journal: Rev. méd. Chile Journal subject: Medicine Year: 2012 Type: Article Affiliation country: Chile Institution/Affiliation country: Instituto Nacional del Tórax/CL / Clínica Alemana de Santiago+CL