IN WHICH CASE SHOULD WE REQUEST A SWEAT TEST?
The diagnosis of cystic fibrosis is made by measuring the CHLORINE concentration in sweat.
It should not be forgotten that the sweat test may be positive in some diseases other than cystic fibrosis.
Situations requiring SWEAT TEST in the first 2 years of age
An elevated IRT value in the screening test during the neonatal period
Stopped weight gain in the baby (Growth retardation )
Making copious amounts of greasy, smelly stools
frequently recurring respiratory tract infection ( Bronchiolitis / Bronchitis )
meconium ileus ( In the first days of the newborn baby, the newborn's feces are in the intestines obstruction as a result of its progression) having symptoms of inability to defecate in the first 24-48 hours
signs of meconium peritonitis (perforation of the intestine blocked with feces and the development of an inflammatory condition in the fold)
Edema, protein deficiency, Having symptoms of anemia (anemia), Kwashiorkor dermatitis
If you have symptoms of pneumonia, empyema (infection of the lung lining)
If your baby gets a salty taste when kissed
If you have signs of heat stroke (summer !!!!ATTENTION )
Prolonged jaundice in the neonatal period, the color of the stool being light colored like glazier's putty (acholic stool)
low levels of sodium, potassium, chlorine, low blood gas values I have clinical and laboratory findings of a disorder (metabolic alkalosis)
Rectal Prolapse (colon section of the large intestine protruding from the anus)
I have findings of a bleeding disorder that persists with vitamin K deficiency
There is consanguinity between the parents
there is a history of sibling death
Between the ages of 3-16 (in the child and adolescent age group) ter Who should be asked for the test?
Recurrent respiratory infections, or Asthma / wheezing
recurrent cough and purulent (inflammatory) expectoration
Bronchiectasis
clubfingers
Oily, foul-smelling, misshapen stools
chronic sinusitis and nasal polyposis
Hemoptysis (blood coming along with cough and sputum) )
cirrhosis (focal cirrhosis)
p>Diabetes mellitus )
failure to enter puberty ( delayed puberty )
meconium ileus-like picture
low sodium, weakness
If your child or patient has the symptoms, requesting a sweat test would be the correct approach.
Who in the adult age group (over 18 years of age) should we request a sweat test?
azoospermia (absence of any sperm in the semen)
congenital absence of deferens (congenital absence of the sperm duct. It is seen with a frequency of 1/500)
Bronchiectasis ( Expansion of the bronchi )
chronic sinusitis
acute and chronic pancreatitis
allergic Bronchopulmonary aspergillosis (presence of fungi specific to cystic fibrosis patients in the respiratory tract)
cirrhosis (focal biliary cirrhosis)
Disorder in the glucose tolerance test
portal hypertension (increased pressure in the vein leading to the liver)
cholestasis (the release of bile from liver cells into bile There is no problem in excretion into the bile ducts. Obstruction in bile flow.
stones in the gallbladder.
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