Alfin G. Vicencio, MD, Attending in Pediatric Pulmonary, Steven and Alexandra Cohen Childrens Med Center, talks about diagnosing CF in children.
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Alfin G. Vicencio on Diagnosing Cystic Fibrosis in Children Male: If you have a poorly controlled asthmatic, automatically a good doctor will look for cystic fibrosis, is that true? Alfin G. Vicencio: Yes. Male: He may not find it but we’ll find that a lot of times, the cystic fibrosis may not be so typical and what we call relatively minor presentations set time to these asthmatics is that true? Alfin G. Vicencio: Yes, that is true, especially these days; the genetic testing has become so comprehensive that we’re finding a very, very large grey zone. As we see it’s 10 or 15 years ago, cystic fibrosis used to be a yes or no answer. And, these days we’re actually finding children who have unusual genetic defects that cause very mild disease that may not necessarily translate to full blown cystic fibrosis but can contribute to things like chronic sinus infections, perhaps persistent wheezing and coughing without the chronic manifestations in life shortening clinical course that is -- Male: Why -- parents is like ice cream that comes in many flavors. Alfin G. Vicencio: Yes. Male: Sometimes, it’s intense, and sometimes it’s very light so with that know that you could have it, it may not be as bad as some of the presentations, is that true? Alfin G. Vicencio: Yes, that is true.