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Cystic fibrosis case diagnosed in adulthood with recurrent pancreatitis

Year 2022, Volume: 5 Issue: 1, 49 - 54, 30.03.2022

Abstract

Cystic fibrosis is an autosomal recessively inherited hereditary disease seen in the Caucasian race. As a result of different mutations in the gene "cystic fibrosis transmembrane regulating protein", it can cause various clinical pictures from mild to severe. Nineteen-year-old male patient was admitted to our outpatient clinic with complaints of abdominal pain, diarrhea, and inability to gain weight. The patient's malnutrition, admission to diarrhea, and recurrent pancreatitis attacks made us suspect that he could have cystic fibrosis. In our case, the sweat test was found to be at a high level. Cystic fibrosis gene analysis was found to be positive. The case is presented in order to keep cystic fibrosis in mind in patients with recurrent pancreatitis, to emphasize that the symptoms can start at a later age and that the diagnosis is easy.

References

  • 1. Parad RB, Comeau AM. Newborn screening for cystic fibrosis. Pediatr Ann 2003; 32: 528-35.
  • 2. Andersen DH, Hodges RH. Celiacsyndrome; genetics of cysticfibrosis of thepancreas, with a consideration of etiology. Am J Dis Child 1946; 72: 62-80.
  • 3. Boyle MP. Non classic cystic fibrosis and CFTR-related diseases. Curr Opin in Pulm Med 2003; 9: 498-50.
  • 4. Stern RC. The diagnosis of cystic fibrosis. N Engl J Med 1997;336:487-491.
  • 5. Rosenstein BJ, Cutting GR.The diagnosis of cystic fibrosis: A Consensus statement. J Pediatr 1998; 132:589-595.
  • 6. Stevens T, Conwell DL, Zuccaro G. Pathogenesis of chronic pancreatitis: an evidence-based review of past theories and recent developments. The American journal of gastroenterology. 2004;99:2256–2270.
  • 7. Conwell DL, Lee LS, Yadav D, Longnecker DS, Miller FH, Mortele KJ, Levy MJ, Kwon R, Lieb JG, Stevens T, Toskes PP, Gardner TB, Gelrud A, Wu BU, Forsmark CE, Vege SS. American Pancreatic Association Practice Guidelines in Chronic Pancreatitis: evidence-based report on diagnostic guidelines. Pancreas. 2014;43:1143–1162.
  • 8. Yadav D, Hawes RH, Brand RE, Anderson MA, Money ME, Banks PA, Bishop MD, Baillie J, Sherman S, DiSario J, Burton FR, Gardner TB, Amann ST, Gelrud A, Lawrence C, Elinoff B, Greer JB, O’Connell M, Barmada MM, Slivka A, Whitcomb DC. Alcohol consumption, cigarette smoking, and the risk of recurrent acute and chronic pancreatitis. Archives of internal medicine. 2009;169:1035–1045.
  • 9.Schneider A, Löhr JM, Singer MV. M-ANNHEIM classification of chronic pancreatitis: introduction of a unifying classification system based on a review of previous classifications of the disease. J Gastroenterol 2007; 42: 101 – 1.

Tekrarlayan pankreatit ile erişkin dönemde tanı alan kistik fibrozis olgusu

Year 2022, Volume: 5 Issue: 1, 49 - 54, 30.03.2022

Abstract

Kistik fibrozis beyaz ırkta görülen otozomal resesif geçişli kalıtsal hastalıktır.“Kistik fibrozis transmembran düzenleyen protein” genindeki değişik mutasyonlar sonucunda hafiften ağıra çeşitli klinik tablolara yol açabilir. On dokuz yaşında erkek hasta karın ağrısı ,ishal,kilo alamama şikayeti ile polikliniğimize başvurdu. hastanın malnutrisyonu olması,ishalle başvurması,tekrarlayan pankreatit atakları olması bizi kistik fibrosiz olabileciğine düşündürdü.Olgumuzda ter testi yüksek düzeyde saptandı. Kistik fibroz gen analizi pozitif bulundu. Olgu tekrarlayan pankreatitli hastalarda kistik fibrozisin akılda tutulması, semptomların geç yaşta başlayabileceği ve tanısının kolay olduğunu vurgulamak amacıyla sunulmuştur.

References

  • 1. Parad RB, Comeau AM. Newborn screening for cystic fibrosis. Pediatr Ann 2003; 32: 528-35.
  • 2. Andersen DH, Hodges RH. Celiacsyndrome; genetics of cysticfibrosis of thepancreas, with a consideration of etiology. Am J Dis Child 1946; 72: 62-80.
  • 3. Boyle MP. Non classic cystic fibrosis and CFTR-related diseases. Curr Opin in Pulm Med 2003; 9: 498-50.
  • 4. Stern RC. The diagnosis of cystic fibrosis. N Engl J Med 1997;336:487-491.
  • 5. Rosenstein BJ, Cutting GR.The diagnosis of cystic fibrosis: A Consensus statement. J Pediatr 1998; 132:589-595.
  • 6. Stevens T, Conwell DL, Zuccaro G. Pathogenesis of chronic pancreatitis: an evidence-based review of past theories and recent developments. The American journal of gastroenterology. 2004;99:2256–2270.
  • 7. Conwell DL, Lee LS, Yadav D, Longnecker DS, Miller FH, Mortele KJ, Levy MJ, Kwon R, Lieb JG, Stevens T, Toskes PP, Gardner TB, Gelrud A, Wu BU, Forsmark CE, Vege SS. American Pancreatic Association Practice Guidelines in Chronic Pancreatitis: evidence-based report on diagnostic guidelines. Pancreas. 2014;43:1143–1162.
  • 8. Yadav D, Hawes RH, Brand RE, Anderson MA, Money ME, Banks PA, Bishop MD, Baillie J, Sherman S, DiSario J, Burton FR, Gardner TB, Amann ST, Gelrud A, Lawrence C, Elinoff B, Greer JB, O’Connell M, Barmada MM, Slivka A, Whitcomb DC. Alcohol consumption, cigarette smoking, and the risk of recurrent acute and chronic pancreatitis. Archives of internal medicine. 2009;169:1035–1045.
  • 9.Schneider A, Löhr JM, Singer MV. M-ANNHEIM classification of chronic pancreatitis: introduction of a unifying classification system based on a review of previous classifications of the disease. J Gastroenterol 2007; 42: 101 – 1.
There are 9 citations in total.

Details

Primary Language Turkish
Subjects Clinical Sciences
Journal Section Research article
Authors

Ali Gökçe 0000-0001-8813-713X

Publication Date March 30, 2022
Acceptance Date February 28, 2022
Published in Issue Year 2022 Volume: 5 Issue: 1

Cite

APA Gökçe, A. (2022). Tekrarlayan pankreatit ile erişkin dönemde tanı alan kistik fibrozis olgusu. Tıp Fakültesi Klinikleri Dergisi, 5(1), 49-54.


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