Skip to main content
Top
Published in: Journal of Medical Case Reports 1/2008

Open Access 01-12-2008 | Case report

An atypical presentation of cystic fibrosis: a case report

Authors: Deepak Joshi, Anil Dhawan, Alistair J Baker, Michael A Heneghan

Published in: Journal of Medical Case Reports | Issue 1/2008

Login to get access

Abstract

Introduction

The presentation of cystic fibrosis is dependant upon which organs are affected. Common presentations include chronic respiratory infections and malabsorption. Patients with atypical disease tend to present late in childhood or as adults. Eye manifestations of cystic fibrosis are less well known.

Case presentation

A 14-year-old Caucasian boy presented with tiredness and difficulty seeing at night, over a period of 6 months. Good vision was only described in bright conditions. There was no history of jaundice, steatorrhea or diarrhoea.

Conclusion

This is the first reported case of newly diagnosed cystic fibrosis-related liver disease in a teenage boy, whose presenting symptom was night blindness secondary to vitamin A deficiency.
Literature
1.
go back to reference Stern R: The diagnosis of cystic fibrosis. N Engl J Med. 1997, 336: 487-491. 10.1056/NEJM199702133360707.CrossRefPubMed Stern R: The diagnosis of cystic fibrosis. N Engl J Med. 1997, 336: 487-491. 10.1056/NEJM199702133360707.CrossRefPubMed
2.
go back to reference Morkeberg JC, Edmund C, Prause JU, Lanng S, Koch C, Michaelsen KF: Ocular findings in cystic fibrosis patients receiving vitamin A supplementation. Graefes Arch Clin Exp Opthalmol. 1995, 233 (11): 709-713. 10.1007/BF00164674.CrossRef Morkeberg JC, Edmund C, Prause JU, Lanng S, Koch C, Michaelsen KF: Ocular findings in cystic fibrosis patients receiving vitamin A supplementation. Graefes Arch Clin Exp Opthalmol. 1995, 233 (11): 709-713. 10.1007/BF00164674.CrossRef
3.
go back to reference Rayner RJ, Tyrrell JC, Hiller EJ, Marenah C, Neugebauer MA, Vernon SA, Brimlow G: Night blindness and conjunctival xerosis caused by vitamin A deficiency in patients with cystic fibrosis. Arch Dis Child. 1989, 64: 1151-1156.CrossRefPubMedPubMedCentral Rayner RJ, Tyrrell JC, Hiller EJ, Marenah C, Neugebauer MA, Vernon SA, Brimlow G: Night blindness and conjunctival xerosis caused by vitamin A deficiency in patients with cystic fibrosis. Arch Dis Child. 1989, 64: 1151-1156.CrossRefPubMedPubMedCentral
4.
go back to reference Spits Y, De Laey J-J, Leroy B: Rapid recovery of night blindness due to obesity surgery after Vitamin A repletion therapy. Br J Opthalmol. 2004, 88 (4): 583-585. 10.1136/bjo.2003.022459.CrossRef Spits Y, De Laey J-J, Leroy B: Rapid recovery of night blindness due to obesity surgery after Vitamin A repletion therapy. Br J Opthalmol. 2004, 88 (4): 583-585. 10.1136/bjo.2003.022459.CrossRef
5.
go back to reference Mokete B, De Cock R: Xeropthalmia and short bowel syndrome. Br J Opthalmol. 1995, 82: 1339-CrossRef Mokete B, De Cock R: Xeropthalmia and short bowel syndrome. Br J Opthalmol. 1995, 82: 1339-CrossRef
Metadata
Title
An atypical presentation of cystic fibrosis: a case report
Authors
Deepak Joshi
Anil Dhawan
Alistair J Baker
Michael A Heneghan
Publication date
01-12-2008
Publisher
BioMed Central
Published in
Journal of Medical Case Reports / Issue 1/2008
Electronic ISSN: 1752-1947
DOI
https://doi.org/10.1186/1752-1947-2-201

Other articles of this Issue 1/2008

Journal of Medical Case Reports 1/2008 Go to the issue