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Page 3 / Case 09.03

ANSWER

1) Pulmonary syndromes like Allergic Bronchopulmonary Aspergillosis (ABPA), Asthma, hypersensitivity pneumonitis, Churg Strauss syndrome should be considered.

2) Non compliance with therapy is a major problem in teenage patients and patients with psychosocial problems.

3) CF related diabetes and insulin dependent diabetes mellitus.

4) Malnutrition has a major negative effect on CF related pulmonary disease.

WHAT INVESTIGATIONS WOULD YOU REQUEST TO NARROW DOWN YOUR DIFFERENTIAL DIAGNOSIS?


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