Case history
Case history
A 1-year-old child presents with failure to thrive. The child was born at the 50th percentile for weight, but has crossed multiple percentile lines despite a ravenous appetite. The child has more bowel movements per day than other children of the same age, and the stools often look shiny and have an unusually foul smell. In addition, the child has been treated with multiple courses of antibiotics for a persistent, wet cough. The child is small for age, with weight and length below the third percentile.
Other presentations
Patients with pancreatic-sufficient CF may present with chronic rhinosinusitis with involvement of all the sinuses, recurrent pancreatitis, and/or appendicitis. Older males may present with infertility due to congenital bilateral absence of the vas deferens. The pathological finding of inspissated, haematoxylin-staining material within the crypts of the appendix is pathognomonic.[2]
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