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Última revisão: 16 Mar 2025
Última atualização: 11 Dec 2024

Resumo

Definição

História e exame físico

Principais fatores diagnósticos

  • presença de fatores de risco
  • rastreamento neonatal positivo
  • ausência de eliminação de mecônio
  • retardo do crescimento pôndero-estatural
  • apetite voraz
  • tosse produtiva
  • infecção recorrente
  • rinossinusite crônica
  • anormalidades genitais masculinas
  • hemoptise

Outros fatores diagnósticos

  • fezes disabsortivas com esteatorreia
  • baqueteamento digital
  • refluxo gastroesofágico
  • sibilo
  • diâmetro anteroposterior (AP) aumentado do tórax
  • história de pancreatite
  • história de apendicite aguda
  • hepatomegalia ou esplenomegalia

Fatores de risco

  • história familiar de fibrose cística (FC)
  • status de portador conhecido de ambos os pais
  • etnia

Investigações diagnósticas

Investigações a serem consideradas

  • exames de imagem do seio nasal
  • swab de orofaringe posterior

Algoritmo de tratamento

Colaboradores

Autores

Samuel B. Goldfarb, MD

Professor of Pediatrics

Masonic Children's Hospital

University of Minnesota School of Medicine

Minneapolis

MN

Declarações

SBG declares a personal interest in the Cystic Fibrosis Therapeutic Development Network (TDN) involving multiple CF multicentred studies.

Pi Chun (Jennifer) Cheng, MD, MS

Assistant Professor of Pediatrics

Riley Hospital for Children

Indiana University School of Medicine

Indianapolis

IN

Declarações

PCC declares that she has no competing interests.

Maureen Banfe Josephson, DO

Assistant Professor of Pediatrics

The Children's Hospital of Philadelphia

Perelman School of Medicine at the University of Pennsylvania

Philadelphia

PA

Declarações

MBJ declares that she has no competing interests.

Agradecimentos

Dr Samuel B. Goldfarb, Dr Pi Chun (Jennifer) Cheng, and Dr Maureen Banfe Josephson would like to gratefully acknowledge Dr James L. Kreindler, a previous contributor to this topic.

Declarações

JLK declares that he has no competing interests.

Revisores

Sangeeta M. Bhorade, MD

Associate Professor of Medicine

Medical Director

Lung Transplant Program

University of Chicago Hospitals

Chicago

IL

Declarações

SMB declares that she has no competing interests.

Alan Smyth, MA, MBBS, MRCP, MD, FRCPCH

Associate Professor & Reader in Child Health

Division of Child Health

University of Nottingham

Queens Medical Centre

Nottingham

UK

Declarações

AS declares that he has no competing interests.

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