© 2002 Archives of Disease in Childhood
EDITORIAL
Primary ciliary dyskinesia
1 Department of Paediatric Respiratory Medicine, Royal Brompton Hospital, Sydney Street, London, UK
2 Department of Child Health, University of Leicester, Leicester, LE2 7LX, UK
Correspondence to:
Correspondence to:
Dr A Bush, Department of Paediatric Respiratory Medicine, Royal Brompton Hospital, Sydney Street, London SW3 6NP, UK;
a.bush@rbh.nthames.nhs.uk
A nose for a diagnosis?
Keywords: cilia; Kartageners syndrome; bronchiectasis; chronic secretory otitis media; neonatal respiratory distress; infertility
| The first 150 words of the full text of this article appear below. |
All children cough, all children have runny noses, and most children are normal. In a child with a cough, an unexpected additional finding, for example rectal prolapse, should lead to a reappraisal of what at first sight may be a trivial symptom, and a new diagnosis such as cystic fibrosis (CF) may be made. The well known frequency of this disease, the ready availability of the sweat test in every hospital and the generally low threshold for its performance, should make diagnosis of CF straightforward. However, even CF, with all these favourable factors, is hardly a diagnostic success story; 1015% patients are not diagnosed until adulthood.1,2 It is not surprising therefore that a rarer condition such as primary ciliary dyskinesia (PCD), to which the only diagnostic clues may be a chronic moist cough and a runny or blocked nose, and for which diagnostic testing is not widely available, is often
3 Department of Paediatrics, Royal Berkshire Hospital, Reading, UK; andrew.boon@rbbh-tr.nhs.uk
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- ADC Online, 8 Nov 2002 [Full text]
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