Document Detail


Edema, anemia, hypoproteinemia, and acrodermatitis enteropathica: an uncommon initial presentation of cystic fibrosis.
MedLine Citation:
PMID:  14758309     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
Cystic fibrosis is a genetic disorder characterized by chronic obstructive pulmonary disease, pancreatic exocrine deficiency, and abnormally high sweat electrolyte concentrations. Less frequently, the presenting features in infants may include edema, anemia, hypoproteinemia, and acrodermatitis enteropathica. Liver involvement may produce hepatomegaly and mild elevation of transaminases. This clinical symptom usually presents within the first 6 months of life and is associated with a high morbidity and mortality. Early recognition and institution of appropriate nutritional supplementation and pancreatic enzymes is essential to improve outcome. Since the sweat test may be falsely negative, emergency physicians must maintain a high index of suspicion to make the diagnosis of cystic fibrosis in an infant who presents with edema, anemia, hypoproteinemia, and acrodermatitis enteropathica.
Authors:
Antonio E Muñiz; Sam Bartle; Robin Foster
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Publication Detail:
Type:  Case Reports; Journal Article    
Journal Detail:
Title:  Pediatric emergency care     Volume:  20     ISSN:  1535-1815     ISO Abbreviation:  Pediatr Emerg Care     Publication Date:  2004 Feb 
Date Detail:
Created Date:  2004-02-03     Completed Date:  2004-04-19     Revised Date:  2004-11-17    
Medline Journal Info:
Nlm Unique ID:  8507560     Medline TA:  Pediatr Emerg Care     Country:  United States    
Other Details:
Languages:  eng     Pagination:  112-4     Citation Subset:  IM    
Affiliation:
Department of Emergency Medicine and Pediatrics, Virginia Commonwealth University Health System, Richmond, VA 23298-0401, USA. aemuniz@aol.com.
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MeSH Terms
Descriptor/Qualifier:
Acrodermatitis / etiology*
Anemia / etiology*
Cystic Fibrosis / complications*,  diagnosis
Diarrhea / etiology
Edema / etiology*
Humans
Hypoproteinemia / etiology*
Infant
Male

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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